K Number
K162517
Device Name
Electronic Pulse Stimulator Model: PL-029K12 and PL-029K13
Date Cleared
2017-04-14

(217 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
TENS (Modes 1, 2, 4, 5, 6, 8) To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, arm, and leg, due to strain from exercise or normal household and work activities. It is also intended for symptomatic relief and management of chronic, intractable pain and relief of pain associated with arthritis. PMS (also called EMS, Modes 1, 3, 7) To stimulate healthy muscles in order to improve and facilitate muscle performance. To be used for the improvement of muscle tone and firmness, and for strengthening muscles in the arms, abdomen, legs, and buttocks. Not intended for use in any therapy or for the treatment of any medical conditions or diseases. It is also intended to temporarily increase local blood circulation in the healthy muscles of lower extremities. Heating Mode Temporary relief of minor aches and pains.
Device Description
Electronic Pulse Stimulator delivers electric pulses generated to the user's body areas such as the back neck and foot through the electrodes. The portable and compact device has multiple modes of different pulse frequencies, covering TENS and PMS that is also called Electrical Muscle Stimulation (EMS). It includes operating elements of ON/OFF button, intensity increase button, intensity decrease button, mode selection button, and/or timer selection button, and could be attached to electrodes. In addition, the device may also provide heat/temperature. While used in the heating mode, the device is coupled with electronically controlled electrodes to provide automatic thermal heat to the skin with the maximum temperature of 43 °C. The device could be easily operated through its buttons to manually realize its functions, such as turning on/off, increasing/decreasing intensity, changing mode/timer, and providing heat/temperature if needed. The optional wireless control via a remote or Bluetooth APP could provide a secondary operation way to the user, who could be able to wirelessly realize the functions mentioned above. The electrodes cleared include the electrode pads and electrode garments, which could be packaged separately and/or together with the subject device.
More Information

Not Found

No
The device description and performance studies focus on electrical stimulation parameters, safety standards, and basic software verification. There is no mention of AI, ML, or any learning or adaptive capabilities.

Yes.
The device is intended for the temporary relief of pain associated with sore and aching muscles, symptomatic relief and management of chronic pain, and relief of pain associated with arthritis, which are all therapeutic uses. Additionally, it states that the device delivers electrical pulses to the user's body through electrodes, and that it may also provide heat/temperature.

No

The device is described as an "Electronic Pulse Stimulator" intended for pain relief and muscle stimulation, and does not mention any function for identifying, analyzing, or diagnosing medical conditions.

No

The device description explicitly states it is an "Electronic Pulse Stimulator" that "delivers electric pulses generated to the user's body areas... through the electrodes." It also mentions physical operating elements like buttons and the potential for heat/temperature delivery. While it mentions optional wireless control via a remote or Bluetooth APP, this is a secondary operation method for a physical device, not the primary function of a software-only device. The performance studies also focus on electrical safety and electromagnetic compatibility of the physical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information for diagnosis, monitoring, or screening.
  • Device Function: The description clearly states that this device delivers electric pulses and potentially heat to the user's body through electrodes. It is used for pain relief, muscle stimulation, and increasing local blood circulation.
  • Intended Use: The intended uses listed are related to physical therapy, pain management, and muscle conditioning, all of which are applied directly to the body, not to in vitro specimens.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, using reagents, or providing diagnostic information based on laboratory tests.

Therefore, this device falls under the category of a physical therapy or pain management device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

TENS (Modes 1, 2, 4, 5, 6, 8)

To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, arm, and leg, due to strain from exercise or normal household and work activities.

It is also intended for symptomatic relief and management of chronic, intractable pain and relief of pain associated with arthritis.

PMS (also called EMS, Modes 1, 3, 7)

To stimulate healthy muscles in order to improve and facilitate muscle performance. To be used for the improvement of muscle tone and firmness, and for strengthening muscles in the arms, abdomen, legs, and buttocks. Not intended for use in any therapy or for the treatment of any medical conditions or diseases.

It is also intended to temporarily increase local blood circulation in the healthy muscles of lower extremities.

Heating Mode Temporary relief of minor aches and pains.

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

NUH, NGX, NYN, IRT

Device Description

Electronic Pulse Stimulator delivers electric pulses generated to the user's body areas such as the back neck and foot through the electrodes. The portable and compact device has multiple modes of different pulse frequencies, covering TENS and PMS that is also called Electrical Muscle Stimulation (EMS). It includes operating elements of ON/OFF button, intensity increase button, intensity decrease button, mode selection button, and/or timer selection button, and could be attached to electrodes. In addition, the device may also provide heat/temperature. While used in the heating mode, the device is coupled with electronically controlled electrodes to provide automatic thermal heat to the skin with the maximum temperature of 43 °C.

The device could be easily operated through its buttons to manually realize its functions, such as turning on/off, increasing/decreasing intensity, changing mode/timer, and providing heat/temperature if needed. The optional wireless control via a remote or Bluetooth APP could provide a secondary operation way to the user, who could be able to wirelessly realize the functions mentioned above.

The electrodes cleared include the electrode pads and electrode garments, which could be packaged separately and/or together with the subject device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

shoulder, waist, back, arm, leg, arms, abdomen, legs, buttocks, lower extremities

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-clinical tests were performed on the subject device in order to validate the design and to assure conformance with the following voluntary design standards in connection with medical device electrical safety, and electromagnetic compatibility.
(a) IEC 60601-1 "Medical Electrical Equipment Part 1: General requirements for basic safety and essential performance".
(b) 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".
(c) IEC 60601-2-10 "Medical electrical equipment Part 2-10: Particular requirements for the basic safety and essential performance of nerve and muscle stimulators".

In addition to the compliance of voluntary standards, the verification of software used in the subject device has been carried out according to the FDA Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices. The electrode pads, electrode garments, and other accessories of the subject device also meet the requirement of safety.

The skin temperatures were measured at Mode 8 with the largest frequency of 160 Hz among the eight preset modes, the highest Intensity Level 20, and the highest Heat Level 2 for 60 min. The results showed the subject device reached the highest skin temperature of about 41 °C in 20 min, and then kept stable.

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.

K153520, K070299

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.

Not Found

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

§ 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).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized image of an eagle with three human profiles incorporated into its design. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

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

April 14, 2017

JKH Health Co., Ltd. % Bill Quangin Dai 1142 S. Diamond Bar Blvd. #861 Diamond Bar, CA 91765

Re: K162517

Trade/Device Name: Electronic Pulse Stimulator Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous Electrical Nerve Stimulator For Pain Relief Regulatory Class: Class II Product Code: NUH, NGX, NYN, IRT Dated: March 14, 2017 Received: March 21, 2017

Dear Dr. Dai:

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 the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

1

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.

Carlos L. Pena -S) A

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) K162517

Device Name Electronic Pulse Stimulator

Indications for Use (Describe)

TENS (Modes 1, 2, 4, 5, 6, 8)

To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, arm, and leg, due to strain from exercise or normal household and work activities.

It is also intended for symptomatic relief and management of chronic, intractable pain and relief of pain associated with arthritis.

PMS (also called EMS, Modes 1, 3, 7)

To stimulate healthy muscles in order to improve and facilitate muscle performance. To be used for the improvement of muscle tone and firmness, and for strengthening muscles in the arms, abdomen, legs, and buttocks. Not intended for use in any therapy or for the treatment of any medical conditions or diseases.

It is also intended to temporarily increase local blood circulation in the healthy muscles of lower extremities.

Heating Mode Temporary relief of minor aches and pains.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

This 510(k) Summary of safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92.

1. Submitter's Information

Submitter: JKH Health Co., Ltd. (Previous name: Shenzhen Jingkehui Electronic Co., Ltd.) Address: 4-5F, Building 12, Hengmingzhu Industrial Park, Xinqiao Tongfuyu Industrial Area, Shajing, Baoan, Shenzhen, China Contact Person: Pu Jiang Tel: +86-755-27926589 Fax: +86-755-29970323 Email: bill@JKHhealth.com Date of Preparation: 08/30/2016

2. Subiect Device

Trade/Device Name: Electronic Pulse Stimulator Common Name: Transcutaneous Electrical Nerve Stimulation (TENS) unit and Powered Muscle Stimulation (PMS) unit Regulation Medical Specialty: Neurology Review Panel: Neurology Product Code: NUH, NGX, NYN, IRT Regulation Number: 21 CFR 882.5890 Device Class: II Use: Over-The-Counter (OTC)

3. Predicate device

Predicate Device: Electronic Pulse Stimulator 510(k) Number: K153520 Clearance Date: Mav 05, 2016 Submitter: JKH Health Co., Ltd. (Previous name: Shenzhen Jingkehui Electronic Co., Ltd.)

Predicate Device: ezFit Digital Heating TENS Clearance Date: July 16, 2007 510(k) Number: K070299 Submitter: ezFit Technology, Inc.

4. Description of Subject Device

Electronic Pulse Stimulator delivers electric pulses generated to the user's body areas such as the back neck and foot through the electrodes. The portable and compact device has multiple modes of different pulse frequencies, covering TENS and PMS that is also called Electrical Muscle Stimulation (EMS). It includes operating elements of ON/OFF button, intensity increase button, intensity decrease button, mode selection button, and/or timer selection button, and could be attached to electrodes. In addition, the device may also provide heat/temperature. While used in the heating mode, the device is coupled with electronically controlled electrodes to provide automatic thermal heat to the skin with the maximum temperature of 43 °C.

The device could be easily operated through its buttons to manually realize its functions, such as

4

turning on/off, increasing/decreasing intensity, changing mode/timer, and providing heat/temperature if needed. The optional wireless control via a remote or Bluetooth APP could provide a secondary operation way to the user, who could be able to wirelessly realize the functions mentioned above.

The electrodes cleared include the electrode pads and electrode garments, which could be packaged separately and/or together with the subject device.

5. Indications for Use

TENS (Modes 1, 2, 4, 5, 6, 8)

To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, arm, and leg, due to strain from exercise or normal household and work activities.

It is also intended for symptomatic relief and management of chronic, intractable pain and relief of pain associated with arthritis.

PMS (also called EMS, Modes 1, 3, 7)

To stimulate healthy muscles in order to improve and facilitate muscle performance. To be used for the improvement of muscle tone and firmness, and for strengthening muscles in the arms, abdomen, legs, and buttocks. Not intended for use in any therapy or for the treatment of any medical conditions or diseases.

It is also intended to temporarily increase local blood circulation in the healthy muscles of lower extremities.

Heating Mode

Temporary relief of minor aches and pains.

6. Summary of Substantial Equivalence

The following comparison Table 1 summarizes the comparison between the subject device and predicate device, indicating the intended use and technical characteristics of the subject device are substantially equivalent to those of the predicate device.

Subject DeviceSubject DevicePredicate DevicePredicate Device
510(k) NumberK162517K162517K153520K070299
Submitter/ManufacturerJKH Health Co., Ltd.JKH Health Co., Ltd.JKH Health Co., Ltd.ezFit Technology, Inc.
Device Name/ModelPL-029K12PL-029K13PL-029K6ezFit Digital Heating TENS
Intended UseTENS Mode
To be used for temporary
relief of pain associated with
sore and aching muscles in
the shoulder, waist, back,
arm, and leg, due to strain
from exercise or normal
household and work
activities.

It is also intended for
symptomatic relief and
management of chronic,
intractable pain and relief of
pain associated with arthritis. | TENS Mode
To be used for temporary
relief of pain associated with
sore and aching muscles in
the shoulder, waist, back,
arm, and leg, due to strain
from exercise or normal
household and work
activities.

It is also intended for
symptomatic relief and
management of chronic,
intractable pain and relief of
pain associated with arthritis. | TENS
To be used for temporary
relief of pain associated with
sore and aching muscles in
the shoulder, waist, back,
arm, and leg, due to strain
from exercise or normal
household and work
activities.

It is also intended for
symptomatic relief and
management of chronic,
intractable pain and relief of
pain associated with arthritis. | For Transcutaneous
Electrical Nerve
Stimulation, ezFit Digital
Heating TENS (Model No.:
HR-661/UC-101) is
intended for
Symptomatic relief and
management of chronic
intractable pain.

For powered heating
therapy, ezFit Digital
Heating TENS (Model No.:
HR-661/UC-101) is
intended for |

Table 1. Device comparison

5

| | PMS Mode
To stimulate healthy muscles
in order to improve and
facilitate muscle
performance. To be used for
the improvement of muscle
tone and firmness, and for
strengthening muscles in the
arms, abdomen, legs, and
buttocks. Not intended for
use in any therapy or for the
treatment of any medical
conditions or diseases.
It is also intended to
temporarily increase local
blood circulation in the
healthy muscles of lower
extremities. | PMS Mode
To stimulate healthy muscles
in order to improve and
facilitate muscle
performance. To be used for
the improvement of muscle
tone and firmness, and for
strengthening muscles in the
arms, abdomen, legs, and
buttocks. Not intended for
use in any therapy or for the
treatment of any medical
conditions or diseases.
It is also intended to
temporarily increase local
blood circulation in the
healthy muscles of lower
extremities.

Heating Mode
Temporary relief of minor
aches and pains | PMS
To stimulate healthy muscles
in order to improve and
facilitate muscle
performance. To be used for
the improvement of muscle
tone and firmness, and for
strengthening muscles in the
arms, abdomen, legs, and
buttocks. Not intended for
use in any therapy or for the
treatment of any medical
conditions or diseases.
It is also intended to
temporarily increase local
blood circulation in the
healthy muscles of lower
extremities. | Temporary relief of minor
aches and pains and muscle
spasms |
|---------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------|
| Prescription or OTC | OTC | OTC | OTC | Prescription |
| Power Source(s) | Rechargeable battery | Rechargeable battery | Rechargeable battery | Rechargeable battery |
| Functions and design | Electrical stimulation | Electrical stimulation and
heat | Electrical stimulation | Electrical stimulation and
heat |
| Heating Setting | N/A | Low and high | N/A | Adjustable (36-42 °C) |
| Maximum temperature setting | N/A | 43 °C | N/A | 42 °C |
| Maximum output voltage
(Volts +/- 20%) at 500Ω | Mode 1: This mode cycles
the following modes
Mode 2: 36.4
Mode 3: 47.6
Mode 4: 57.6
Mode 5: 29.6
Mode 6: 29.6
Mode 7: 40.8
Mode 8: 24.0 | Mode 1: This mode cycles
the following modes
Mode 2: 31.2
Mode 3: 46.0
Mode 4: 42.0
Mode 5: 27.6
Mode 6: 27.6
Mode 7: 40.8
Mode 8: 23.2 | Mode 1: This mode cycles
the following modes
Mode 2: 39.2
Mode 3: 64
Mode 4: 56.8
Mode 5: 33.2
Mode 6: 31.6 | Undisclosed |
| Maximum output voltage
(Volts +/- 20%) at 2kΩ | Mode 1: This mode cycles
the following modes
Mode 2: 80.8
Mode 3: 96.0
Mode 4: 93.6
Mode 5: 66.4
Mode 6: 66.4
Mode 7: 86.4
Mode 8: 53.6 | Mode 1: This mode cycles
the following modes
Mode 2: 68.0
Mode 3: 90.4
Mode 4: 68.8
Mode 5: 60.0
Mode 6: 60.0
Mode 7: 84.0
Mode 8: 50.4 | Mode 1: This mode cycles
the following modes
Mode 2: 82.4
Mode 3: 84
Mode 4: 79.2
Mode 5: 70.4
Mode 6: 67.2 | Undisclosed |
| Maximum output voltage
(Volts +/- 20%) at 10kΩ | Mode 1: This mode cycles
the following modes
Mode 2: 134
Mode 3: 132
Mode 4: 108
Mode 5: 126
Mode 6: 126
Mode 7: 129
Mode 8: 105 | Mode 1: This mode cycles
the following modes
Mode 2: 118
Mode 3: 124
Mode 4: 78.4
Mode 5: 115
Mode 6: 115
Mode 7: 124
Mode 8: 99.2 | Mode 1: This mode cycles
the following modes
Mode 2: 129
Mode 3: 120
Mode 4: 84.8
Mode 5: 121
Mode 6: 124 | Undisclosed |
| Maximum output current
(mA +/- 20%) at 500Ω | Mode 1: This mode cycles
the following modes
Mode 2: 72.8
Mode 3: 95.2
Mode 4: 115.2
Mode 5: 59.2 | Mode 1: This mode cycles
the following modes
Mode 2: 62.4
Mode 3: 92.0
Mode 4: 84.0
Mode 5: 55.2 | Mode 1: This mode cycles
the following modes
Mode 2: 78.4
Mode 3: 128
Mode 4: 113.6
Mode 5: 64.4 | Undisclosed |

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| | Mode 6: 59.2
Mode 7: 81.6
Mode 8: 48.0 | Mode 6: 55.2
Mode 7: 81.6
Mode 8: 46.4 | Mode 6: 63.2 | | | | |
|---------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------|--------------------------------------------------------------------------------------|-------------|
| Maximum output current
(mA +/- 20%) at 2KΩ | Mode 1: This mode cycles
the following modes
Mode 2: 40.4
Mode 3: 48.0
Mode 4: 46.8
Mode 5: 33.2
Mode 6: 33.2
Mode 7: 43.2
Mode 8: 26.8 | Mode 1: This mode cycles
the following modes
Mode 2: 34.0
Mode 3: 45.2
Mode 4: 34.4
Mode 5: 30.0
Mode 6: 30.0
Mode 7: 42.0
Mode 8: 25.2 | Mode 1: This mode cycles
the following modes
Mode 2: 41.2
Mode 3: 42
Mode 4: 39.6
Mode 5: 35.2
Mode 6: 33.6 | Undisclosed | | | |
| Maximum output current
(mA +/- 20%) at 10KΩ | Mode 1: This mode cycles
the following modes
Mode 2: 13.4
Mode 3: 13.2
Mode 4: 10.8
Mode 5: 12.6
Mode 6: 12.6
Mode 7: 12.9
Mode 8: 10.5 | Mode 1: This mode cycles
the following modes
Mode 2: 11.8
Mode 3: 12.4
Mode 4: 7.84
Mode 5: 11.5
Mode 6: 11.5
Mode 7: 12.4
Mode 8: 9.92 | Mode 1: This mode cycles
the following modes
Mode 2: 12.9
Mode 3: 12
Mode 4: 8.5
Mode 5: 12.1
Mode 6: 12.4 | Undisclosed | | | |
| Pulse period (mSec) | 6.4840 | 5.6806 | 10833 | Undisclosed | | | |
| Frequency (Hz) | Mode 1: This mode cycles
the following modes
Mode 2: 62.5
Mode 3: 12.8
54.3
Mode 4: 1.19
Mode 5: 104.1
Mode 6: 104.1
Mode 7: 19.8
Mode 8: 156.2 | Mode 1: This mode cycles
the following modes
Mode 2: 73.5
Mode 3: 13.759.5
Mode 4: 1.24
Mode 5: 104.1
Mode 6: 104.1
Mode 7: 20.8
Mode 8: 178.5 | Mode 1: This mode cycles
the following modes
Mode 2: 69.4
Mode 3: 13.0
52.1
Mode 4: 1.2
Mode 5: 96.2
Mode 6: 96.2 | Undisclosed | | | |
| Maximum Phase charge
(µC) at 500Ω | Mode 1: This mode cycles
the following modes
Mode 2: 14.6
Mode 3: 19.0
Mode 4: 23.0
Mode 5: 11.8
Mode 6: 11.8
Mode 7: 16.3
Mode 8: 9.6 | Mode 1: This mode cycles
the following modes
Mode 2: 11.5
Mode 3: 16.9
Mode 4: 15.5
Mode 5: 10.2
Mode 6: 10.2
Mode 7: 15.0
Mode 8: 8.54 | Mode 1: This mode cycles
the following modes
Mode 2: 15.1
Mode 3: 25.6
Mode 4: 18.2
Mode 5: 12.8
Mode 6: 10.1 | Undisclosed | | | |
| Maximum current density
(mA/cm²) at 500Ω | Mode 1:This mode cycles
the following modes
Mode 2: 2.02
Mode 3: 2.64
Mode 4: 3.20
Mode 5: 1.64
Mode 6: 1.64
Mode 7: 3.26
Mode 8: 1.92 | Mode 1:This mode cycles
the following modes
Mode 2: 2.23
Mode 3: 3.29
Mode 4: 3.00
Mode 5: 1.97
Mode 6: 1.97
Mode 7: 2.91
Mode 8: 1.66 | Mode 1:This mode cycles
the following modes
Mode 2: 2.18
Mode 3: 3.56
Mode 4: 3.16
Mode 5: 1.84
Mode 6: 1.76 | Undisclosed | | | |
| Maximum average power
density (mW/cm²) at 500Ω | Mode 4: 0.04 | Mode 1: This mode cycles
the following modes
Mode 2: 0.92
Mode 3: 0.321.37 | Mode 4: 0.03 | Mode 1: This mode cycles
the following modes
Mode 2: 0.94
Mode 3: 0.38
1.65 | Mode 4: 0.03 | Mode 1: This mode cycles
the following modes
Mode 2: 1.14
Mode 3: 0.64~2.56 | Undisclosed |
| Mode 5: 1.01 | Mode 5: 1.04 | Mode 5: 1.13 | | | | | |
| Mode 6: 1.01 | Mode 6: 1.04 | Mode 6: 0.85 | | | | | |
| Mode 7: 0.53 | Mode 7: 0.46 | | | | | | |
| Mode 8: 1.44 | Mode 8: 1.26 | | | | | | |

7. Substantial Equivalence

As shown in the above comparison Table 1, the six modes of the predicate PL-029K6 (K153520) are the first six preset modes in both of the subject devices PL-029K12 and PL-029K13. The seventh and eighth preset modes of PL-029K12 and PL-029K13 have the technical characteristics (such as

7

maximum output voltage, maximum output current, maximum current density, and maximum average power density) almost the same as the six modes of the predicate device. Also, the changes to the display on the subject device do not affect the safety or effectiveness. Accordingly, the subject devices PL-029K12 and PL-029K13 are substantially equivalent to the predicate device PL-029K6, and the same intended use of PL-029K6 as TENS and PMS could apply to PL-029K12 and PL-029K13.

In addition to the TENS and PMS modes, the subject device PL-029K13 also has a heating mode, and is compared to the predicate device that could deliver electrical stimulation and heat separately and simultaneously in K070299. Similar to the predicate device, the subject device is used for the electrical stimulation or heat; consult with your physician before using electrical stimulation and heat simultaneously. The subject device delivers heat through the same technology as the predicate device, and is viewed as substantially equivalent to the predicate device of the exact same technology and substantially equivalent indications for use. The differences that exist between the subject and predicate devices are insignificant in the terms of safety or effectiveness.

Design and Technology - The basic design and technology of providing electrical stimulation and heat is the same or similar.

Performance and Specifications - The subject device has similar electrical stimulation and heat performance and specifications to the predicate device.

Indications - The indications are similar.

Prescriptive - The predicate K070299 is for prescription, while the remaining predicate and subject devices are for OTC.

As demonstrated, the differences between the subject and predicate devices do not affect the intended use or alter the fundamental technology of the device. There are no new safety or effectiveness issues concerning the subject device, which offers substantially equivalent technical specifications, features, intended use, safety, and effectiveness as the predicate device.

The same electrode pads and garments cleared from the predicate K153520 could apply to the subject device. Also, other-shape electrode pads and garments with the same components, such as conductive shoes, socks, belts, wraps, , will not change the biocompatibility or safety. Some electrodes used have an additional heating layer inside, compared to the K153520 cleared electrode. This heating layer isolated inside the electrode could not be touched by the user and does not raise any biocompatibility issue. Concerns of the safe and proper use of the electrodes and other accessories have been fully addressed through details in the Labeling.

8. Non-Clinical Tests Performed

The subject device does not conduct, nor rely upon, clinical tests to determine substantial equivalence. Non-clinical tests were performed on the subject device in order to validate the design and to assure conformance with the following voluntary design standards in connection with medical device electrical safety, and electromagnetic compatibility.

  • (a) IEC 60601-1 "Medical Electrical Equipment Part 1: General requirements for basic safety and essential performance".
  • (b) 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".
  • (c) IEC 60601-2-10 "Medical electrical equipment Part 2-10: Particular requirements for the basic safety and essential performance of nerve and muscle stimulators".

In addition to the compliance of voluntary standards, the verification of software used in the subject

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device has been carried out according to the FDA Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices. The electrode pads, electrode garments, and other accessories of the subject device also meet the requirement of safety.

The skin temperatures were measured at Mode 8 with the largest frequency of 160 Hz among the eight preset modes, the highest Intensity Level 20, and the highest Heat Level 2 for 60 min. The results showed the subject device reached the highest skin temperature of about 41 °C in 20 min, and then kept stable.

9. Conclusion

The tests performed and the comparison of technical characteristics and intended use demonstrate the subject device is substantially equivalent to the predicate device. Therefore, the subject device is as safe and effective as the predicate device that has been legally marketed in the United States.