K Number
K162010
Device Name
HPM-6000U
Date Cleared
2016-12-13

(146 days)

Product Code
Regulation Number
876.5320
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
HPM-6000U is intended to provide entirely non-invasive electromagnetic stimulation of pelvic floor musculature for the purpose of rehabilitation of weak pelvic muscles and restoration of neuromuscular control for the treatment of urinary incontinence in women.
Device Description
The HPM-6000U is a non-invasive therapeutic device. The device produces electromagnetic field that interacts with the tissues of the human body. The electromagnetic field delivered in the muscular or neuronal tissue area is triggering the stimulation and tonisation. The HPM-6000U is equipped with a color touch screen with wide view angle that significantly facilitates the use of the device. The on-screen information guides the user step-by-step through the entire therapy procedure. The therapeutic parameters are easily set using the touch screen, buttons and knob on the device. During the therapy the device keeps information about the applied therapy type, remaining therapy time and main therapy parameters on the screen.
More Information

No
The provided text describes a non-invasive electromagnetic stimulator with a user interface for setting parameters. There is no mention of AI, ML, image processing, or any data-driven decision-making or learning capabilities. The substantial equivalence is based on technical characteristics compared to a predicate device, not performance studies that would typically be associated with AI/ML validation.

Yes
The device description explicitly states, "The HPM-6000U is a non-invasive therapeutic device." Additionally, its intended use is for "rehabilitation of weak pelvic muscles and restoration of neuromuscular control for the treatment of urinary incontinence in women," which is a therapeutic purpose.

No

The provided text explicitly states that the device is "intended to provide entirely non-invasive electromagnetic stimulation" for "rehabilitation" and "restoration of neuromuscular control" and further describes it as a "non-invasive therapeutic device." There is no mention of it being used to diagnose conditions.

No

The device description explicitly states it is a "non-invasive therapeutic device" that "produces electromagnetic field" and is "equipped with a color touch screen with wide view angle that significantly facilitates the use of the device." This indicates the presence of hardware components beyond just software.

Based on the provided information, the HPM-6000U is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to provide non-invasive electromagnetic stimulation of pelvic floor muscles for the treatment of urinary incontinence. This is a therapeutic purpose, not a diagnostic one.
  • Device Description: The device produces an electromagnetic field to stimulate and tone tissue. This is a physical therapy mechanism, not a method for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or providing diagnostic information based on such analysis.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The HPM-6000U's function is to directly treat a condition through physical stimulation.

N/A

Intended Use / Indications for Use

HPM-6000U is intended to provide entirely non-invasive electromagnetic stimulation of pelvic floor musculature for the purpose of rehabilitation of weak pelvic muscles and restoration of neuromuscular control for the treatment of urinary incontinence in women.

Product codes

KPI

Device Description

The HPM-6000U is a non-invasive therapeutic device. The device produces electromagnetic field that interacts with the tissues of the human body. The electromagnetic field delivered in the muscular or neuronal tissue area is triggering the stimulation and tonisation.
The HPM-6000U is equipped with a color touch screen with wide view angle that significantly facilitates the use of the device. The on-screen information guides the user step-by-step through the entire therapy procedure. The therapeutic parameters are easily set using the touch screen, buttons and knob on the device. During the therapy the device keeps information about the applied therapy type, remaining therapy time and main therapy parameters on the screen.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

pelvic floor musculature

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription 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)

The substantial equivalence determination for the HPM-6000U is not based on clinical testing. The device safety and efficacy was demonstrated by comparison of technical characteristics between the HPM-6000U and the predicate device.

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

Not Found

Predicate Device(s)

Neotonus Model 1000 Muscle Stimulator System (K973096)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.5320 Nonimplanted electrical continence device.

(a)
Identification. A nonimplanted electrical continence device is a device that consists of a pair of electrodes on a plug or a pessary that are connected by an electrical cable to a battery-powered pulse source. The plug or pessary is inserted into the rectum or into the vagina and used to stimulate the muscles of the pelvic floor to maintain urinary or fecal continence. When necessary, the plug or pessary may be removed by the user. This device excludes an AC-powered nonimplanted electrical continence device and the powered vaginal muscle stimulator for therapeutic use (§ 884.5940).(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States of America. The seal features the department's name encircling a symbol. The symbol consists of a stylized caduceus, which is a staff with two snakes entwined around it, often associated with medicine and healthcare. The seal is black and white.

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

December 13, 2016

BTL Industries, Inc. % Jan Zarsky Director 47 Loring Drive Framingham, MA 01702

Re: K162010 Trade/Device Name: HPM-6000U Regulation Number: 21 CFR 876.5320 Regulation Name: Nonimplanted Electrical Continence Device Regulatory Class: Class II Product Code: KPI Dated: September 15, 2016 Received: September 16, 2016

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

1

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,

Joyce M. Whang -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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Indications for Use

510(k) Number (if known) Not known K162010 Device Name HPM-6000U

Indications for Use (Describe)

HPM-6000U is intended to provide entirely non-invasive electromagnetic stimulation of pelvic floor musculature for the purpose of rehabilitation of weak pelvic muscles and restoration of neuromuscular control for the treatment of urinary incontinence in women.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.qov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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Image /page/3/Picture/0 description: The image shows the logo for BTL Industries. The logo consists of three blue squares, each rotated 45 degrees, with the letters "BTL" inside. To the right of the squares is the text "BTL Industries" in a dark gray sans-serif font.

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 Žársky
Director
BTL Industries, Inc.
zarsky@btlnet.com |
| Summary Preparation
Date: | July 19, 2016 |

Device Name

Trade/Proprietary Name:HPM-6000U
Primary Classification Name:Stimulator, Electrical, Non-Implantable, For
Incontinence
Classification Regulation:21 CFR 876.5320, Class II
Classification Product Code:KPI

Legally Marketed Predicate Devices

The HPM-6000U is a non-invasive therapeutic device, and is substantially equivalent to the current product that is already cleared for distribution in the USA under the following 510(k) Premarket Notification number:

Neotonus Model 1000 Muscle Stimulator System (K973096)

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Product Description

The HPM-6000U is a non-invasive therapeutic device. The device produces electromagnetic field that interacts with the tissues of the human body. The electromagnetic field delivered in the muscular or neuronal tissue area is triggering the stimulation and tonisation.

The HPM-6000U is equipped with a color touch screen with wide view angle that significantly facilitates the use of the device. The on-screen information guides the user step-by-step through the entire therapy procedure. The therapeutic parameters are easily set using the touch screen, buttons and knob on the device. During the therapy the device keeps information about the applied therapy type, remaining therapy time and main therapy parameters on the screen.

Intended Use

HPM-6000U is intended to provide entirely non-invasive electromagnetic stimulation of pelvic floor musculature for the purpose of rehabilitation of weak pelvic muscles and restoration of neuromuscular control for the treatment of urinary incontinence in women.

Non-clinical Testing

The HPM-6000U device has been thoroughly evaluated for electrical safety. The HPM-6000U has been found to comply with the following applicable medical device safety standards:

| ISO 14971 | Medical devices - Application of risk management to medical
devices |
|---------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| IEC 62304 | Medical device software - Software life cycle processes |
| IEC 60601-1 | Medical electrical equipment - Part 1: General requirements
for basic safety and essential performance |
| IEC 60601-1-2 | Medical electrical equipment – Part 1-2: General requirements
for basic safety and essential performance - Collateral
standard: Electromagnetic compatibility – Requirements and
tests |
| IEC 60601-1-6 | Medical electrical equipment – Part 1-6: General requirements
for basic safety and essential performance - Collateral
standard: Usability |
| ISO 10993-1 | Biological evaluation of medical devices – Part 1: Evaluation
and testing within a risk management process |
| ISO 10993-5 | Biological evaluation of medical devices - Part 5: Tests for in
vitro cytotoxicity |
| ISO 10993-10 | Biological evaluation of medical devices - Part 10: Tests for
irritation and skin sensitization |

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Image /page/5/Picture/0 description: The image shows the logo for BTL Industries. The logo consists of three blue squares nested inside each other, with the letters "BTL" in white inside the innermost square. To the right of the logo is the text "BTL Industries" in a gray, sans-serif font.

Clinical testing

The substantial equivalence determination for the HPM-6000U is not based on clinical testing. The device safety and efficacy was demonstrated by comparison of technical characteristics between the HPM-6000U and the predicate device.

Comparison with the Predicate Device

510(k) numberNot AssignedK973096
Device nameHPM-6000UNeotonus Model 1000
Muscle Stimulator System
Company nameBTL Industries, Inc.Neotonus, Inc.
Product Code
and RegulationGastroenterology-Urology
Devices
21 CFR 876.5320
KPI - Stimulator, Electrical,
Non-Implantable, For
IncontinenceGastroenterology-Urology
Devices
21 CFR 876.5320
KPI - Stimulator, Electrical,
Non-Implantable, For
Incontinence
Intended UseHPM-6000U is intended to
provide entirely non-
invasive electromagnetic
stimulation of pelvic floor
musculature for the
purpose of rehabilitation of
weak pelvic muscles and
restoration of
neuromuscular control for
the treatment of urinary
incontinence in women.Neotonus Model 1000 Muscle
Stimulator System is intended
to provide entirely non-
invasive electromagnetic
stimulation of pelvic floor
musculature for the purpose
of rehabilitation of weak pelvic
muscles and restoration of
neuromuscular control for the
treatment of urinary
incontinence in women.
Primary FunctionStimulation of pelvic floor
musculatureStimulation of pelvic floor
musculature
Principle of
ActionInitiating action potential of
nerves results in muscle
contractionInitiating action potential of
nerves results in muscle
contraction
Type of EnergyMagnetic fieldMagnetic field
Energy Source100 - 240 V AC, 50 - 60
Hz, max 14 A110 V AC, 50 - 60 Hz,
max 12 A
Type of CoilSingle magnetic coilSingle magnetic coil
Number of11
510(k) numberNot AssignedK973096
Device nameHPM-6000UNeotonus Model 1000
Muscle Stimulator System
Company nameBTL Industries, Inc.Neotonus, Inc.
Magnetic Coils
in the Applicator
Type of
ApplicatorChairChair
Number of
Applicators11
Patient Position
during TherapySitting positionSitting position
Position of CoilCenter of applicator seatCenter of applicator seat
Type of
OperationContinuousContinuous
Magnetic Field
Intensity0.7 - 2.5 TUp to 2.2 T
Pulse Repetition
Rate1 - 150 Hz1 – 55 Hz
Step of
Frequency
Setting1 Hz1 Hz
Pulse Duration280 μs (± 20%)275 μs
Pulse Amplitude0 – 100 %0 - 100 %
Shape of
Stimulation
PulseSine, biphasicSine, biphasic
Therapy Time30 min30 min
Operating
Temperature+10 to +30 °C (50 - 86 °F)+10 to +30 °C (50 - 86 °F)
InterfaceTouch-screenGraphical Display
Firmware
controlledYesYes
Environmental
SpecificationsFor indoor use onlyFor indoor use only
Clinical UsePrescription UsePrescription Use
510(k) numberNot AssignedK973096
Device nameHPM-6000UNeotonus Model 1000
Muscle Stimulator System
Company nameBTL Industries, Inc.Neotonus, Inc.
External
Exchangeable
FuseYesYes
Main Unit
Dimensions
(W×H×D)500×970×580 mm
(20×38×23 in)580×170×320 mm
(23×7×12.5 in)
Applicator
Dimensions
(W×H×D)730x730x730 mm
(29x29x29 in)700x1250x785 mm
(27.5x49x31 in)
System Weight46 kg (101 lb)42.5 kg
PositionVertical - On castorsHorizontal
Electrical
ProtectionClass II, BFClass II

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Substantial Equivalence

Based upon the intended use and known technical information provided in this pre-market notification, the HPM-6000U device has been shown to be substantially equivalent to currently marketed predicate device. Thorough Substantial Equivalence Discussion is provided in Section 12.

Conclusion

Based on the aforementioned information, the HPM-6000U is safe and effective and substantially equivalent to the identified predicate device.