K Number
K162481
Device Name
RF1400 Active Compression Wrap
Manufacturer
Date Cleared
2017-02-16

(163 days)

Product Code
Regulation Number
870.5800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The RF1400 Active Compression Wrap is intended to be a portable system, prescribed by healthcare professionals, to treat the following conditions by stimulating blood flow in the legs: · Aid in the prevention of DVT (deep vein thrombosis); • Enhance blood circulation; · Diminish post-operative pain and swelling; - · Reduce wound healing time; · Aid in the treatment and healing of: stasis dermatits, venous stasis ulcers, arterial and diabetic leg ulcers, chronic venous insufficiency, chronic lymphedema, and reduction of edema in the lower limbs; · As a prophylaxis for DVT by persons expecting to be stationary for long periods of time. · Reduction of edema associated with soft tissue injuries, such as burns, postoperative or post-immobilization edema, or ligament sprains. The device can be used in the home or clinical setting. The device is intended for use in an adult patient population.
Device Description
The RF1400 Active Compression Wrap is a lightweight, portable, rechargeable battery powered, prescriptive device that helps stimulate blood flow in the lower limb through the use of intermittent sequential compression. The wrap contains nickel titanium, martensite phase change wires, using a battery-powered microprocessor to "excite" and "relax" the wires resulting in compression. The battery and microprocessor components are protectively housed in a plastic controller case that is permanently attached to the wrap. A single, touch control button interface and a RGB LED light indicator provide the user interface, and there is a port for connecting the battery charger plug. The wrap is available in a wide range of sizes XS, S, M, and L, to accommodate varying anatomy sizes. The wrap is divided into three discrete zones which are externally applied to the limb. After one zone is fully activated for a period of time and turns off, then the next zone is activated. This cycle continues until all three zones have activated and turned off. Then the sequence is repeated after a short delay. This cycle repeats until the unit is turned off. The wrap may be used on one or both legs. When used on both legs, the wraps operately. The wrap is supplied with a rechargeable battery, which can be charged when not in use.
More Information

No
The device description details a microprocessor controlling a fixed sequence of compression zones based on pre-programmed timing, not adaptive learning or complex pattern recognition characteristic of AI/ML.

Yes
The device is intended to treat multiple medical conditions such as deep vein thrombosis, post-operative pain, and lymphedema, which are therapeutic applications.

No

The device is intended to treat conditions by stimulating blood flow and is described as a "prescriptive device that helps stimulate blood flow." It does not mention any function for diagnosing conditions.

No

The device description explicitly details hardware components such as a wrap containing wires, a battery-powered microprocessor, a plastic controller case, a touch control button, an LED light indicator, and a port for a battery charger. This indicates it is a physical device with integrated software, not a software-only medical device.

Based on the provided information, the RF1400 Active Compression Wrap is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In vitro diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • RF1400 Function: The RF1400 Active Compression Wrap is an external device that applies physical compression to the legs to stimulate blood flow. It does not analyze any biological samples from the patient.
  • Intended Use: The intended use clearly describes a physical therapy/treatment device for conditions related to blood circulation and edema, not for diagnostic testing using biological samples.
  • Device Description: The device description details a mechanical compression system with wires, a battery, and a microprocessor. There is no mention of components for sample collection, analysis, or reagent use, which are typical of IVD devices.

Therefore, the RF1400 Active Compression Wrap falls under the category of a therapeutic or physical medicine device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The RF1400 Active Compression Wrap is intended to be a portable system, prescribed by healthcare professionals, to treat the following conditions by stimulating blood flow in the legs:

· Aid in the prevention of DVT (deep vein thrombosis);

• Enhance blood circulation;

· Diminish post-operative pain and swelling;

  • · Reduce wound healing time;
    · Aid in the treatment and healing of: stasis dermatits, venous stasis ulcers, arterial and diabetic leg ulcers, chronic venous insufficiency, chronic lymphedema, and reduction of edema in the lower limbs;

· As a prophylaxis for DVT by persons expecting to be stationary for long periods of time.

· Reduction of edema associated with soft tissue injuries, such as burns, postoperative or post-immobilization edema, or ligament sprains.

The device can be used in the home or clinical setting. The device is intended for use in an adult patient population.

Product codes (comma separated list FDA assigned to the subject device)

JOW

Device Description

The RF1400 Active Compression Wrap is a lightweight, portable, rechargeable battery powered, prescriptive device that helps stimulate blood flow in the lower limb through the use of intermittent sequential compression. The wrap contains nickel titanium, martensite phase change wires, using a battery-powered microprocessor to "excite" and "relax" the wires resulting in compression. The battery and microprocessor components are protectively housed in a plastic controller case that is permanently attached to the wrap. A single, touch control button interface and a RGB LED light indicator provide the user interface, and there is a port for connecting the battery charger plug. The wrap is available in a wide range of sizes XS, S, M, and L, to accommodate varying anatomy sizes.

The wrap is divided into three discrete zones which are externally applied to the limb. After one zone is fully activated for a period of time and turns off, then the next zone is activated. This cycle continues until all three zones have activated and turned off. Then the sequence is repeated after a short delay. This cycle repeats until the unit is turned off. The wrap may be used on one or both legs. When used on both legs, the wraps operately. The wrap is supplied with a rechargeable battery, which can be charged when not in use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lower limbs, legs

Indicated Patient Age Range

adult patient population

Intended User / Care Setting

prescribed by healthcare professionals, in the home or clinical setting.

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)

Nonclinical validation including electrical safety, EMC, software validation, environmental/ shipping, life cycle, and performance testing have shown that the RF1400 Active Compression Wrap has performance characteristics substantially equivalent to the listed predicate devices.

Bench testing has verified biocompatibility, surface temperature, equivalent pressure delivery, cycle time and system operation as the ActiveCare DVT listed predicate.

The results of non-clinical testing demonstrates that the device met all performance requirements and that the subject device is substantially equivalent to the predicate device.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K140755

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K061866, K133274

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

§ 870.5800 Compressible limb sleeve.

(a)
Identification. A compressible limb sleeve is a device that is used to prevent pooling of blood in a limb by inflating periodically a sleeve around the limb.(b)
Classification. Class II (performance standards).

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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 image of an eagle with three profiles of human faces incorporated into its design.

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

March 02, 2017

Recovery Force LLC % Ms. Deborah Grayeski Sr. Project Manager M Squared Associates 575 8th Ave New York, New York 10018

Re: K162481

Trade/Device Name: RF1400 Active Compression Wrap Regulation Number: 21 CFR 870.5800 Regulation Name: Compressible Limb Sleeve Regulatory Class: Class II Product Code: JOW Dated: January 13, 2017 Received: January 17, 2017

Dear Ms. Grayeski:

This letter corrects our substantially equivalent letter of February 16, 2017.

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

1

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 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 you desire specific advice for your device on our labeling regulation (21 CFR Part 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.

Sincerely,

for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K162481

Device Name RF1400 Active Compression Wrap

Indications for Use (Describe)

The RF1400 Active Compression Wrap is intended to be a portable system, prescribed by healthcare professionals, to treat the following conditions by stimulating blood flow in the legs:

· Aid in the prevention of DVT (deep vein thrombosis);

• Enhance blood circulation;

· Diminish post-operative pain and swelling;

  • · Reduce wound healing time;
    · Aid in the treatment and healing of: stasis dermatits, venous stasis ulcers, arterial and diabetic leg ulcers, chronic venous insufficiency, chronic lymphedema, and reduction of edema in the lower limbs;

· As a prophylaxis for DVT by persons expecting to be stationary for long periods of time.

· Reduction of edema associated with soft tissue injuries, such as burns, postoperative or post-immobilization edema, or ligament sprains.

The device can be used in the home or clinical setting. The device is intended for use in an adult patient population.

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)

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5 510(k) Summary

Submitter Information

| Applicant: | Recovery Force LLC
12175 Visionary Way, Suite 117
Fishers, IN 46038 |
|-------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Phone Number: | 1-866-604-6458 |
| Official Correspondent: | M Squared Associates, Inc.
Deborah Grayeski
575 8th Avenue, Suite 1212
New York, NY 10018
Phone: 703-562-9800 ext. 250
Fax: 703-562-9797
Email: dgrayeski@msquaredassociates.com |
| Date of Preparation: | February 14, 2017 |

Device Name

Trade Name:RF1400 Active Compression Wrap
Common/Usual Name:Compressible Limb Wrap
Classification Name:Compressible Limb Wrap (21 CFR 870.5800, Product code JOW)

Device Description

The RF1400 Active Compression Wrap is a lightweight, portable, rechargeable battery powered, prescriptive device that helps stimulate blood flow in the lower limb through the use of intermittent sequential compression. The wrap contains nickel titanium, martensite phase change wires, using a battery-powered microprocessor to "excite" and "relax" the wires resulting in compression. The battery and microprocessor components are protectively housed in a plastic controller case that is permanently attached to the wrap. A single, touch control button interface and a RGB LED light indicator provide the user interface, and there is a port for connecting the battery charger plug. The wrap is available in a wide range of sizes XS, S, M, and L, to accommodate varying anatomy sizes.

4

The wrap is divided into three discrete zones which are externally applied to the limb. After one zone is fully activated for a period of time and turns off, then the next zone is activated. This cycle continues until all three zones have activated and turned off. Then the sequence is repeated after a short delay. This cycle repeats until the unit is turned off. The wrap may be used on one or both legs. When used on both legs, the wraps operately. The wrap is supplied with a rechargeable battery, which can be charged when not in use.

Intended Use/Indications:

The RF1400 Active Compression Wrap is intended to be a portable and wearable system, prescribed by healthcare professionals, to treat the following conditions by stimulating blood flow in the lower limbs:

  • o Aid in the prevention of DVT;
  • Enhance blood circulation; O
  • Diminish post-operative pain and swelling; O
  • Reduce wound healing time; O
  • Aid in the treatment and healing of: stasis dermatitis, venous stasis ulcers, arterial o and diabetic leg ulcers, chronic venous insufficiency, chronic lymphedema, and reduction of edema in the lower limbs:
  • As a prophylaxis for DVT by persons expecting to be stationary for long periods of o time.
  • Reduction of edema associated with soft tissue injuries, such as burns, o postoperative or post-immobilization edema, or ligament sprains.

The device can be used in the home or clinical setting. The device is intended for use in an adult patient population.

Contraindications:

Do not use the RF1400 Active Compression Wrap in the following cases:

  • Persons with suspected, active or untreated: deep vein thrombosis, ischemic . vascular disease, blood clots, severe arteriosclerosis, pulmonary edema, severe congestive heart failure, thrombophlebitis, or an active infection
  • . On the legs where the cuffs (the Wrap) would interfere with the following conditions: vein ligation, gangrene, dermatitis, swollen or inflamed areas, open wounds, a recent skin graft, massive edema or extreme deformity of the leg

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  • . Medical situations where increased venous and lymphatic return are undesirable
  • . On extremities that are insensitive to pain or any neuropathy
  • Presence of unexplained pain. .

Predicate Devices

The predicate devices of the RF1400 Active Compression Wrap are:

  • Primary predicate: ActiveCare DVT. manufactured by Medical Compression Systems (K140755)
  • Reference device: VascuTherm™, manufactured by ThermoTek, Inc. (K061866)
  • · Reference device: Vena Pro Vascular Therapy System, manufactured by Innovamed Health, LLC (K133274)

Technological Characteristics Summary

The RF1400 Active Compression Wrap is equivalent to the listed predicate devices in that all devices use a microprocessor to provide intermittent compression to simulate muscle contractions in the lower limbs aiding the return of venous flow. Like the ActiveCare and Vena Pro devices, the RF1400 Active Compression Wrap is light-weight, portable, and wraps around the lower limb. Similar to the Vena Pro device, the RF1400 Active Compression Wrap may be used on one or both legs. When used on both legs, the wraps operate separately. All devices also have similar indications for use and contraindications.

Although the subject device uses different technology to enable compression (excitation and relaxation of nickel titanium, martensite to austenite phase change wires, rather than using air delivery through tubing which is used in the predicate devices), the subject device has similar performance characteristics to the predicates in terms of cycle time and applied/on-body pressure. Both the subject device and the ActiveCare DVT device have three discrete compression zones with similar on-body pressure and cycle times (2-3 seconds of compression, with approximately 24 seconds of rest period before the cycle repeats), providing sequential compression, which cannot be changed. In all devices, compression is controlled by a microprocessor controlled system having a user interface, which in addition to controlling the system, provides battery and system information (including error notification). All compression systems are encased in soft,

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non-latex fabrics for patient comfort and biocompatibility. All systems are prescription only, provided non-sterile, and are intended for single patient use.

The RF1400 Active Compression Wrap is supplied with a rechargeable battery, which can be charged when not in use, whereas the predicate devices either also use a rechargeable battery or utilize a power source that must be plugged into a wall outlet.

Summary of Nonclinical Testing

Nonclinical validation including electrical safety, EMC, software validation, environmental/ shipping, life cycle, and performance testing have shown that the RF1400 Active Compression Wrap has performance characteristics substantially equivalent to the listed predicate devices.

Bench testing has verified biocompatibility, surface temperature, equivalent pressure delivery, cycle time and system operation as the ActiveCare DVT listed predicate.

Substantial Equivalence

The RF1400 Active Compression Wrap has the same intended use and performance characteristics as the predicate devices. The results of non-clinical testing demonstrates that the device met all performance requirements and that the subject device is substantially equivalent to the predicate device.