K Number
K151834
Device Name
BEMER Classic Set, BEMER Pro-Set
Manufacturer
Date Cleared
2017-02-22

(597 days)

Product Code
Regulation Number
890.5850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
BEMER therapy systems (BEMER Classic Set, BEMER Pro-Set) are indicated for: - To temporarily increase local blood circulation in healthy leg muscles - To stimulate healthy muscles in order to improve and facilitate muscle performance
Device Description
BEMER therapy systems are a family of noninvasive physical medicine devices that can be used as a supportive therapy to increase local blood circulation. BEMER therapy is offered in two system options-Classic and Professional. Both systems consist of a B.BOX console, a set of BEMER signal applicators, power pack, B.SCAN indicator and accessories for attachment. The B.PAD and B.SPOT applicators have been cleared for use in this submission. BEMER systems improve local blood distribution via electromagnetic stimulatory principles. The resulting increase in local blood distribution can broadly benefit patients. The indications for use allow the application to increase local blood circulation or stimulate healthy muscles in order to improve and facilitate muscle performance.
More Information

No
The summary does not mention AI, ML, or any related concepts like image processing, training sets, or performance metrics typically associated with AI/ML devices. The device description focuses on electromagnetic stimulation and standard performance testing.

Yes

The 'Intended Use / Indications for Use' section explicitly states the device is indicated for purposes such as "To temporarily increase local blood circulation in healthy leg muscles" and "To stimulate healthy muscles in order to improve and facilitate muscle performance," which are therapeutic applications. Additionally, the 'Device Description' refers to it as a "noninvasive physical medicine device that can be used as a supportive therapy."

No

The device description and intended use state that the BEMER therapy systems are used to increase local blood circulation and stimulate healthy muscles for performance improvement, not to diagnose or identify medical conditions.

No

The device description explicitly states that the BEMER therapy systems consist of hardware components including a B.BOX console, signal applicators, power pack, B.SCAN indicator, and accessories.

Based on the provided information, the BEMER therapy system is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use describes the device as being used to temporarily increase local blood circulation and stimulate healthy muscles in the body. This is a therapeutic or physical medicine application, not a diagnostic test performed on samples taken from the body (like blood, urine, or tissue).
  • Device Description: The description details a noninvasive physical medicine device that uses electromagnetic stimulation. This aligns with a therapeutic device, not a diagnostic one.
  • Lack of IVD Characteristics: There is no mention of analyzing samples, detecting biomarkers, or providing diagnostic information about a disease or condition.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The BEMER system's function is to directly interact with the body for therapeutic benefit.

N/A

Intended Use / Indications for Use

  • To temporarily increase local blood circulation in healthy leg muscles
  • To stimulate healthy muscles in order to improve and facilitate muscle performance

Product codes

NGX

Device Description

BEMER therapy systems are a family of noninvasive physical medicine devices that can be used as a supportive therapy to increase local blood circulation. BEMER therapy is offered in two system options-Classic and Professional. Both systems consist of a B.BOX console, a set of BEMER signal applicators, power pack, B.SCAN indicator and accessories for attachment. The B.PAD and B.SPOT applicators have been cleared for use in this submission.

BEMER systems improve local blood distribution via electromagnetic stimulatory principles. The resulting increase in local blood distribution can broadly benefit patients. The indications for use allow the application to increase local blood circulation or stimulate healthy muscles in order to improve and facilitate muscle performance.

BEMER therapy systems are substantially equivalent to other legally marketed over-the-counter devices within physical medicine classifications NGX (Powered Muscle stimulator). Generally, these are non-invasive and reusable muscle conditioning devices that stimulate muscle contractile properties, force output and/or fatigue resistance. These devices also improve local blood circulation in muscle tissue. These devices create electric stimulation either via direct application of electric current or via induction of electrical stimulation within the tissue by application of magnetic flux. All are used for therapy regimes lasting days to weeks with one or more individual treatments per day lasting generally less than an hour. All are designed for patient-managed self-use in a home setting.

BEMER Therapy Systems utilize induction of microcurrents to tissue. Like the reference device, this non-invasive electromagnetic stimulation improves muscle activity induced by electromagnetic stimulation.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

healthy leg muscles (implied from "To temporarily increase local blood circulation in healthy leg muscles")

Indicated Patient Age Range

Not Found

Intended User / Care Setting

patient-managed self-use in a home setting.
Over-The-Counter Use

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)

A Usability study was conducted to proof that the intended users can identify the key functions of the device and to assess, that they can operate the device in a safe and effective manner based on their knowledge and following the directions for use in the device label.

The BEMER Therapy Systems usability study design follows FDA's human factors guidance for industry entitled, Applying Human Factors and Usability Engineering to Medical Devices (February 3, 2016). In summary, BEMER Therapy Systems, as labeled, are safe and effective in use by lay and professional users and therefore it is suitable for Over-The-Counter (OTC) use.

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

Not Found

Predicate Device(s)

K143207

Reference Device(s)

K973929

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

§ 890.5850 Powered muscle stimulator.

(a)
Identification. A powered muscle stimulator is an electrically powered device intended for medical purposes that repeatedly contracts muscles by passing electrical currents through electrodes contacting the affected body area.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features the department's name in a circular arrangement around a central emblem. The emblem consists of a stylized representation of three human profiles facing to the right, stacked one behind the other, with flowing lines beneath them.

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

February 22, 2017

Sven Bieler, PhD Regulatory Affairs BEMER Int. AG Austrasse 15 Triesen, 9495 Liechtenstein

Re: K151834

Trade/Device Name: BEMER Classic Set, BEMER Pro-Set Regulation Number: 21 CFR 890.5850 Regulation Name: Powered Muscle Stimulator Regulatory Class: Class II Product Code: NGX Dated: January 23, 2017 Received: January 23, 2017

Dear Dr. Bieler:

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 and Part 809); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements

1

as set forth in 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 vou desire specific advice for your device on our labeling regulation (21 CFR Part 801 and Part 809), 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

2

Indications for Use

510(k) Number (if known) K151834

Device Name BEMER Classic Set and BEMER Pro-Set

Indications for Use (Describe)

  • To temporarily increase local blood circulation in healthy leg muscles

  • To stimulate healthy muscles in order to improve and facilitate muscle performance

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)

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6. 510(K) SUMMARY

The following information is provided as required by 21 CFR 807.92 for BEMER International, AG's BEMER Therapy Systems 510(k) premarket notification. In response to the Safe Medical Devices Act of 1990, the following is a summary of the information upon which the substantial equivalence determination is based.

  • Sponsor: BEMER International, AG Austrasse 15 LIE-9495 Triesen, Liechtenstein Phone: +423-399-3999 Fax: +423-399-3998 Registration Number: 30039102830
  • Contact: BEMER International AG Sven Bieler, Fred Harms Austrasse 15 LIE-9495 Triesen, Liechtenstein Phone: +423 399 3999 Fax: +423 399 3998
Date of Submission:February 22, 2017
Proprietary Name(s):BEMER Classic Set and BEMER Pro-Set
Common Name:Powered Muscle Stimulator, Powered Muscle Stimulator for
Muscle Conditioning
Regulatory Class:II
Regulation:21 CFR 890.5850
Panel:Physical Medicine
Product Codes:NGX
Predicate Device:K143207, Revitive IX (OTC)
Reference Device:K973929, Neotonus Model 1000 Muscle Stimulator System

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Device Description:

BEMER therapy systems are a family of noninvasive physical medicine devices that can be used as a supportive therapy to increase local blood circulation. BEMER therapy is offered in two system options-Classic and Professional. Both systems consist of a B.BOX console, a set of BEMER signal applicators, power pack, B.SCAN indicator and accessories for attachment. The B.PAD and B.SPOT applicators have been cleared for use in this submission.

BEMER systems improve local blood distribution via electromagnetic stimulatory principles. The resulting increase in local blood distribution can broadly benefit patients. The indications for use allow the application to increase local blood circulation or stimulate healthy muscles in order to improve and facilitate muscle performance.

BEMER therapy systems are substantially equivalent to other legally marketed over-thecounter devices within physical medicine classifications NGX (Powered Muscle stimulator). Generally, these are non-invasive and reusable muscle conditioning devices that stimulate muscle contractile properties, force output and/or fatigue resistance. These devices also improve local blood circulation in muscle tissue. These devices create electric stimulation either via direct application of electric current or via induction of electrical stimulation within the tissue by application of magnetic flux. All are used for therapy regimes lasting days to weeks with one or more individual treatments per day lasting generally less than an hour. All are designed for patient-managed self-use in a home setting.

BEMER Therapy Systems utilize induction of microcurrents to tissue. Like the reference device, this non-invasive electromagnetic stimulation improves muscle activity induced by electromagnetic stimulation.

Intended Use:

BEMER therapy systems (BEMER Classic Set, BEMER Pro-Set) are indicated for:

  • To temporarily increase local blood circulation in healthy leg muscles
  • To stimulate healthy muscles in order to improve and facilitate muscle performance

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Performance Testing:

BEMER therapy systems are compliant with the following standards and have outputs that are within the same range as the predicate devices:

STANDARDDESCRIPTION
510(k) Declaration of Conformity Standards
IEC/EN 60601-1:2007Medical Electrical Equipment, Part 1,
General Requirements for Safety
IEC 60601-1-2:2014Medical Electrical Equipment, Part 1-2, General Requirement for
Safety. Electromagnetic Compatibility
IEC/EN 60601-1-4:2001Medical Electrical Equipment, Part 1-4, Collateral Standard:
Programmable electrical medical systems.
IEC/EN 60601-1-6: 3rdMedical Electrical Equipment, Part 1-6, Usability
IEC/EN 60601-1-11: 2010Medical Electrical Equipment, Part 1-11,
General requirements for basic safety and essential performance
Collateral Standard: Requirements for medical electrical
equipment and medical electrical systems used in the home
healthcare environment
IEC/EN 62366Medical devices - Application of usability engineering to medical
devices
EN ISO 10993-1:2009Biological Evaluation of Medical Devices Part 1: Evaluation and
Testing
(Overall plan and requirements established internally, specific
tests conducted by 3rd party, see Section 16)
General Compliance Standards
EN ISO 13485:2012Medical Devices, Quality Management Systems, Requirements
for Regulatory Purposes
EN ISO 14971Application of risk management to medical products
IEC/EN 62304Software life cycle processes

Technical and Performance Comparison:

The subject and predicate devices are all non-invasive, reusable, and used as therapies for wide-ranging conditions resulting in pain, atrophy, and reduced circulation (loss of vascular and muscle tone). All employ the same general principles of tissue and cellular stimulation; some stimulate via direct electrical stimulation, while others induce electrical stimulation within the tissue by the application of magnetic flux.

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| | BEMER Therapy
Systems | Revitive IX
(K143207) | Neotonus MS-101
Magnetic Muscle
Stim. System
(K973929)
Reference Device | Comments |
|------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | SUBJECT DEVICE | Predicate Device | | |
| Classification
Code(s) | Primary: Powered
Muscle Stimulator
NGX 890.5850 | Primary: Powered
Muscle Stimulator
NGX 890.5850 | Powered Muscle
Stimulator
IPF 890.5850 | |
| | | Secondary:
Transcutaneous
Nerve Stimulator
NUH 882.5890 | | |
| Indications for
Use | [Pending] The
BEMER therapy is
indicated:

To temporarily
increase local
blood circulation in
healthy leg
muscles.

  • To stimulate
    healthy
    muscles in
    order to
    improve and
    facilitate
    muscle
    performance. | To temporarily
    increase local
    blood circulation in
    healthy leg
    muscles.

  • To stimulate
    healthy
    muscles in
    order to
    improve and
    facilitate
    muscle
    performance.

  • For temporary
    relief of pain
    associated
    with sore and
    aching
    muscles in the
    shoulder,
    waist, back,
    upper
    extremities
    (arms) and
    lower
    extremities
    (legs) due to
    strain from
    exercise or
    normal
    household
    duties. | The Neotonus MS-
    101 Magnetic
    Muscle Stimulator
    System is intended
    to be used under
    medical
    supervision for
    adjunctive therapy
    for the treatment of
    medical diseases
    and conditions.
    The Neotonus MS-
    101 is indicated for
    use in stimulating
    neuromuscular
    tissues for bulk
    muscle excitation
    in the legs or arms
    for rehabilitative
    purposes.
    Indications for Use
    for Muscle
    Stimulators:
    Relaxation of
    muscle spasms,
    prevention or
    retardation of
    disuse atrophy,
    increasing local
    blood circulation,
    muscle re-
    education,
    immediate post-
    surgical stimulation
    of calf muscles to
    prevent venous
    thrombosis,
    maintaining or | |
    | | BEMER | Revitive IX
    (K143207) | Neotonus
    (K973929) | |
    | PRIMARY MODE OF ACTION | Non-invasive tissue stimulation via magnetic field induction | Non-invasive tissue stimulation via skin electrodes | Non-invasive tissue stimulation via magnetic field induction | |
    | Waveform | Pulsed asymmetric, constant amplitude during treatment | Pulsed symmetrical, constant amplitude during treatment | Unknown | Minor difference, no impact on safety and effectiveness. |
    | Shape | Sinusoidal, monopolar | Rectangular, bipolar | Unknown | Minor difference, no impact on safety and effectiveness |
    | Pulse repetition rate | All accessories: 10-30Hz | Foot: 20-53Hz
    Body: 35-46Hz | 1-55Hz | Minor difference, no impact on safety and effectiveness |
    | Single pulse duration | All accessories: 10 - 33μS | Foot:0.4 - 7.5µS
    Body: 1.4 - 33.6µS | 18-1000µS | Minor difference, no impact on safety and effectiveness |
    | Maximum Power density applied:: | All accessories: 35 - 100μT | Foot:
    0.023 mA/cm2
    Body:
    0.082 mA/cm2 | 1-100% | Minor difference, no impact on safety and effectiveness |
    | Maximum output voltage | N/A | @500Ω: 20-32V
    @2kΩ: 95-118V
    @10kΩ: 138-169V | Unknown | Safety: The subject device does not directly apply voltage to the human body. Therefore, no new hazards were identified. |
    | Maximum Output Current | Current directly applied to the patient's body

All accessories: