K Number
K162689
Device Name
Vibrance Pelvic Trainer
Date Cleared
2017-06-08

(254 days)

Product Code
Regulation Number
884.1425
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Vibrance® Pelvic Trainer is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.
Device Description
The Vibrance® Pelvic Trainer is a repeat use, non-sterile intra-vaginal exercise device intended to strengthen the pelvic floor musculature by offering resistance to an individual's voluntary contractions of these muscles. The Vibrance® Pelvic Trainer incorporates an active vibration biofeedback mechanism for the identification of the pelvic floor muscles, and the sheaths provide graduated resistance levels for the progressive strengthening of the pelvic floor muscle. The device is intended for home use. The therapeutic effect is from the user using the device to exercise the pelvic floor muscles in accordance with the exercise program included in the instructions. The device provides biofeedback information that allows the user to verify the use of the correct muscles in the exercise routine and thus the effectiveness of the exercises undertaken. The device also includes a resistive component to the training program to strengthen the pelvic floor muscle via physiologic principles. The biofeedback mechanism works by directly sensing the force applied by the pelvic floor muscle. The device consists of the Main Body and three Resistance Sheaths with varying degrees of stiffness. It has a PCB assembly and is a battery-powered device (140mAh, 3.7V lithium polymer battery) with USB charging capability, operating on two independent, enclosed electronic circuits for the vibration biofeedback loop and the other for audio guided training. The maximum diameter of the Vibrance® Pelvic Trainer shaft is 2.4 cm. The maximum inserted length of the shaft is 6 cm.
More Information

Not Found

No
The description focuses on mechanical resistance, vibration biofeedback based on direct force sensing, and audio guidance. There is no mention of AI/ML terms, data training, or complex algorithms that would suggest AI/ML is used for analysis or decision-making.

Yes
The device is intended for strengthening pelvic floor muscles to help women with urinary incontinence, which is a therapeutic purpose.

No

The device is described as an exercise device intended to strengthen pelvic floor muscles. While it provides biofeedback to verify correct muscle use, its primary function is therapeutic (strengthening muscles) rather than diagnostic (identifying a disease or condition). The biofeedback is for user verification of exercise, not for medical diagnosis.

No

The device description explicitly states it is an intra-vaginal exercise device consisting of a Main Body, Resistance Sheaths, a PCB assembly, and a battery. It also mentions mechanical testing, biocompatibility testing, and electrical safety testing, all of which are associated with hardware components. While it contains software, it is not solely software.

Based on the provided information, the Vibrance® Pelvic Trainer is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is for "strengthening of the pelvic floor muscles," which is a therapeutic purpose, not a diagnostic one.
  • Device Description: The device description focuses on its mechanical and electronic components for providing resistance and biofeedback during exercise. It does not describe any components or processes for analyzing biological samples (like blood, urine, or tissue) to diagnose a condition.
  • Mechanism of Action: The device works by providing resistance and biofeedback to help the user perform exercises. It does not perform any tests or analyses on biological samples.
  • Performance Studies: The performance studies described (mechanical testing, biocompatibility, electrical safety, software, risk analysis) are typical for a therapeutic or exercise device, not an IVD. IVD performance studies would typically involve evaluating the device's ability to accurately detect or measure a specific analyte or condition in a biological sample.

In summary, the Vibrance® Pelvic Trainer is a device designed for physical therapy and exercise, not for diagnosing a disease or condition by examining samples taken from the human body.

N/A

Intended Use / Indications for Use

The Vibrance® Pelvic Trainer is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.

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

HIR

Device Description

The Vibrance® Pelvic Trainer is a repeat use, non-sterile intra-vaginal exercise device intended to strengthen the pelvic floor musculature by offering resistance to an individual's voluntary contractions of these muscles. The Vibrance® Pelvic Trainer incorporates an active vibration biofeedback mechanism for the identification of the pelvic floor muscles, and the sheaths provide graduated resistance levels for the progressive strengthening of the pelvic floor muscle. The device is intended for home use.

The therapeutic effect is from the user using the device to exercise the pelvic floor muscles in accordance with the exercise program included in the instructions. The device provides biofeedback information that allows the user to verify the use of the correct muscles in the exercise routine and thus the effectiveness of the exercises undertaken. The device also includes a resistive component to the training program to strengthen the pelvic floor muscle via physiologic principles. The biofeedback mechanism works by directly sensing the force applied by the pelvic floor muscle.

The device consists of the Main Body and three Resistance Sheaths with varying degrees of stiffness. It has a PCB assembly and is a battery-powered device (140mAh, 3.7V lithium polymer battery) with USB charging capability, operating on two independent, enclosed electronic circuits for the vibration biofeedback loop and the other for audio guided training. The maximum diameter of the Vibrance® Pelvic Trainer shaft is 2.4 cm. The maximum inserted length of the shaft is 6 cm.

Main Body
The chassis of the device consists of an Acrylonitrile Butadiene Styrene (ABS) plastic frame with the biofeedback mechanism. It is incorporated within a tubular sheath made of medical grade silicone rubber which encloses the whole chassis. This main body and resistance sheath are the parts of the device that directly contact the user's intravaginal cavity (mucosal membrane contact, ≤24hr). The base of the tubular sheath and chassis are winged to prevent total ingestion of the vaginal canal.

Resistance Sheath
Three Resistance Sheaths, each with varying levels of stiffness are included with the Vibrance® Pelvic Trainer. When a Resistance Sheath is placed over the Main Body, the challenge of the exercise is increased.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Vagina

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Home 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)

Mechanical Testing – Compression testing was conducted on the Vibrance® Pelvic Trainer to measure the forces required to vibrate the sensor for each of the three levels of resistance sheath. Pull off test was also conducted to evaluate how much force is needed for the sheath to be removed from the main body when the device is in use but is adequate for removal of a sheath after use. A correlation measurement test was then conducted to evaluate the test results of the compression test. The mechanical testing concluded that the different components of the device would function properly and safely when exposed to loads and configurations representative of normal use.

Biocompatibility - The biological safety of the Vibrance® Pelvic Trainer was evaluated in accordance with ISO 10993-1:2009 and guidance document entitled Use of International Standard ISO-10993-1, "Biological Evaluation of Medical Devices: Part 1: Evaluation and Testing within a Risk Management Process" dated 16 June 2016. Under these, for the stated indications for use, each component of the device's biological safety was evaluated for in vitro cytotoxicity, skin sensitization, and vaginal irritation.

  • In Vitro Cytotoxicity test was performed according to ISO 10993-12 and ISO 10993- 5, with the results suggesting that the test articles did not induce a cytotoxic effect.
  • Skin Sensitization (Maximization Test) was performed according to ISO 10993-10, with the results suggesting that the device extracts did not produce skin sensitization in guinea pigs.
  • . Irritation (Vaginal Irritation Study) was performed on New Zealand White Rabbits according to ISO 10993-10, with the results showing that there were no significant clinical signs and gross findings in either the control or test group, and there were no mortalities.

Electrical Safety and Electromagnetic Compatibility - The Vibrance® Pelvic Trainer complies with the applicable voluntary standards which include:

  • . IEC 60601-1:2005 + A1:2012 Medical Electrical Equipment: Part 1: General Requirements for Basic Safety and Essential Performance.
  • IEC 60601-1-11 Requirements for Medical Electrical Equipment and Medical Electrical Systems Used in the Home Healthcare Environment (Recognition Number 19-6)
  • IEC 60601-1-2:2014 (4th edition) Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances

The Vibrance® Pelvic Trainer complies with these voluntary standards for Electrical Safety, Electromagnetic Compatibility, and for systems used in the home healthcare environment.

Software - Software information was provided in accordance with the FDA Guidance document, Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, dated May 11, 2005.

Risk Analysis - Formal Risk Assessment of the Vibrance® Pelvic Trainer was performed in accordance with ISO 14971. With respect to perceivable conditions in which the device would be subjected to a worst-case environmental or human error scenario, Bioinfinity believes the outcomes of these risks are considered acceptable within the context of ISO 14971, and that all potential risks have been mitigated to the lowest form.

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.

K141893

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

§ 884.1425 Perineometer.

(a)
Identification. A perineometer is a device consisting of a fluid-filled sack for intravaginal use that is attached to an external manometer. The devices measure the strength of the perineal muscles by offering resistence to a patient's voluntary contractions of these muscles and is used to diagnose and to correct, through exercise, uninary incontinence or sexual dysfunction.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

July 3, 2018

Bioinfinity (M) Sdn. Bhd. % Carrie Hetrick Senior Consultant, RA Emergo Group 2500 Bee Cave Road Building 1, Suite 300 Austin, Texas 78746

Re: K162689

Trade/Device Name: Vibrance® Pelvic Trainer Regulation Number: 21 CFR 884.1425 Regulation Name: Perineometer Regulatory Class: Class II Product Code: HIR Dated: May 2, 2017 Received: May 4, 2017

Dear Carrie Hetrick:

This letter corrects our substantially equivalent letter of June 8, 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

1

requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801; medical device reporting of medical device-related 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.

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 comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Michael T. Bailey -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

2

Indications for Use

510(k) Number (if known) K162689

Device Name Vibrance® Pelvic Trainer

Indications for Use (Describe)

The Vibrance® Pelvic Trainer is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.

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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510(k) Summary

Vibrance® Pelvic Trainer

K162689

1. Submission Sponsor

Bioinfinity (M) Sdn. Bhd.

No. 21, Jalan 4/62A, Bandar Menjalara, Kepong

52200 Kuala Lumpur

Malaysia

Phone: +603-6270236

Fax: +603-62720093

Contact: Mr. Ng Shea Kang

Title: Chief Executive Officer

2. Submission Correspondent

Emergo Global Consulting, LLC

2500 Bee Cave Road

Building 1, Suite 300

Austin, TX 78701

Cell Phone: (720) 838-413

Office Phone: (512) 327.9997

Contact: Carrie Hetrick, Senior Consultant, RA

Email: project.management@emergogroup.com

3. Date Prepared

May 2, 2017

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4. Device Identification

Trade/Proprietary Name:Vibrance® Pelvic Trainer
Common/Usual Name:Perineometer
Classification Name:Perineometer
Regulation Number:21 CFR § 884.1425
Product Code:HIR (Perineometer)
Device Class:Class II
Classification Panel:Obstetrics/Gynecology

5. Legally Marketed Predicate Device(s)

K141893, Bioinfinity (M) Sdn. Bhd. Vibrance® Kegel Device (VKD)

The predicate device has not been subject to a design-related recall.

Device Description 6.

The Vibrance® Pelvic Trainer is a repeat use, non-sterile intra-vaginal exercise device intended to strengthen the pelvic floor musculature by offering resistance to an individual's voluntary contractions of these muscles. The Vibrance® Pelvic Trainer incorporates an active vibration biofeedback mechanism for the identification of the pelvic floor muscles, and the sheaths provide graduated resistance levels for the progressive strengthening of the pelvic floor muscle. The device is intended for home use.

The therapeutic effect is from the user using the device to exercise the pelvic floor muscles in accordance with the exercise program included in the instructions. The device provides biofeedback information that allows the user to verify the use of the correct muscles in the exercise routine and thus the effectiveness of the exercises undertaken. The device also includes a resistive component to the training program to strengthen the pelvic floor muscle via physiologic principles. The biofeedback mechanism works by directly sensing the force applied by the pelvic floor muscle.

The device consists of the Main Body and three Resistance Sheaths with varying degrees of stiffness. It has a PCB assembly and is a battery-powered device (140mAh, 3.7V lithium polymer battery) with USB charging capability, operating on two independent, enclosed electronic circuits for the vibration biofeedback loop and the other for audio guided training. The maximum diameter of the Vibrance® Pelvic Trainer shaft is 2.4 cm. The maximum inserted length of the shaft is 6 cm.

Main Body

The chassis of the device consists of an Acrylonitrile Butadiene Styrene (ABS) plastic frame with the biofeedback mechanism. It is incorporated within a tubular sheath made of medical grade silicone rubber which encloses the whole chassis. This main body and resistance sheath are the parts of the device that directly contact the user's intravaginal cavity (mucosal membrane contact, ≤24hr). The base of the tubular sheath and chassis are winged to prevent total ingestion of the vaginal

5

canal.

Resistance Sheath

Three Resistance Sheaths, each with varying levels of stiffness are included with the Vibrance® Pelvic Trainer. When a Resistance Sheath is placed over the Main Body, the challenge of the exercise is increased.

7. Indication for Use Statement

The Vibrance® Pelvic Trainer (VPT) is intended for the strengthening of the pelvic floor muscles, which has been found to help women with urinary incontinence.

8. Substantial Equivalence Discussion

The following table compares the Vibrance® Pelvic Trainer to the predicate device with respect to indications for use, principles of operation, technological characteristics, materials, and performance testing. The comparison of the devices provides more detailed information regarding the basis for the determination of substantial equivalence. The subject device does not raise any new issues of safety or effectiveness based on the similarities to the predicate device.

ManufacturerBioinfinity (M) Sdn. Bhd.Bioinfinity (M) Sdn. Bhd.Significant
Trade NameVibrance® Pelvic TrainerVibrance Kegel DeviceDifferences
Image: Vibrance Pelvic Trainer product packaging and deviceImage: Vibrance Kegel Device product packaging and device
510(k) NumberK162689K141893Not applicable
Product CodeHIRHIRIdentical
Regulation Number21 CFR § 884.142521 CFR § 884.1425Identical
Regulation NamePerineometerPerineometerIdentical
Indications for UseThe Vibrance® Pelvic Trainer
(VPT) is intended for theThe Vibrance Kegel Device (VKD)
is intended for theIdentical
ManufacturerBioinfinity (M) Sdn. Bhd.Bioinfinity (M) Sdn. Bhd.Significant
Trade NameVibrance® Pelvic TrainerVibrance Kegel DeviceDifferences
strengthening of the pelvic
floor muscles, which has been
found to help women with
urinary incontinencestrengthening of the pelvic floor
muscles, which has been found
to help women with urinary
incontinence.
Over the
Counter (OTC)YesYesIdentical
Anatomical SitesVaginaVaginaIdentical
FeatureResistive vaginal exerciserResistive vaginal exerciserIdentical
Target PopulationWomen with mild incontinenceWomen with mild incontinenceIdentical
Anatomical SiteVaginaVaginaIdentical
Single Patient DeviceYesYesIdentical
Single Use
or ReusableReusableReusableIdentical
Provided SterileClean, but not sterileClean, but not sterileIdentical
Biofeedback
display
informationNoNoIdentical
Device DesignHandheld device consisting of
the Main Body and three
gradual Resistance SheathsHandheld device consisting of
the Main Body and three
gradual Resistance SheathsIdentical
MaterialMain Body: ABS Plastic, PCB
Assembly, rechargeable lithium
polymer battery (140 mAh, 3.7
V) with USB charger
Sheaths: Medical grade silicone
(polydimethylsiloxane)Main Body: ABS Plastic, PCB
Assembly, two low electrical
energy coin cell batteries
(CR1220)
Sheaths: Medical grade
silicone
(polydimethylsiloxane)The main
difference
between these
two devices is
the
replacement of
the two low
electrical
energy coin cell
batteries with a
rechargeable
battery with
USB charger.
RoHs CompliantYesYesIdentical
Operating PrincipleResistive pelvic floor strengthenerResistive pelvic floor strengthenerIdentical
Resistance
ComponentThe Vibrance® Pelvic Trainer
(VPT) Electromechanical
spring contact offers 3 levels
of resistance sheaths with
increasing stiffnessThe Vibrance Kegel Device
Electromechanical spring contact
offers 3 levels of resistance
sheaths with increasing stiffness
BiocompatibilityGuidelines set forth in ISO
10993 testing results indicate
the material is biocompatible,
nontoxic, and well tolerated by
mucosal membranes.Guidelines set forth in ISO
10993 testing results indicate
the material is biocompatible,
nontoxic, and well tolerated by
mucosal membranes.Identical
ManufacturerBioinfinity (M) Sdn. Bhd.Bioinfinity (M) Sdn. Bhd.Significant
Trade NameVibrance® Pelvic TrainerVibrance Kegel DeviceDifferences
Chemical SafetyAddressed by biocompatibility
testing per ISO 10993Addressed by biocompatibility
testing per ISO 10993Identical
Instructions for UseManualManual
Energy Use and/or
DeliveredEnergy is supplied by a
rechargeable lithium polymer
battery (140mAh, 3.7 V) with USB
charging capabilityEnergy is supplied by two
independent replaceable 3.0 Volt
CR-1220 lithium
/manganese dioxide (Li/MnO2)
Button Cell batteriesDifferent - The
difference
between these
two devices is the
replacement of
the two low
electrical energy
coin cell batteries
with a
rechargeable
battery with USB
charger.
PackagingDevice in sealed plastic bag and
manual in cardboard boxDevice in sealed plastic bag and
manual in cardboard boxIdentical
Dimensions6 cm x 2 cm6 cm x 2 cmIdentical

Table 5A – Comparison of Characteristics

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7

The differences in technological characteristics do not raise different questions of safety and effectiveness.

9. Non-Clinical Performance Data

The following testing has been performed to support substantial equivalence:

Mechanical Testing – Compression testing was conducted on the Vibrance® Pelvic Trainer to measure the forces required to vibrate the sensor for each of the three levels of resistance sheath. Pull off test was also conducted to evaluate how much force is needed for the sheath to be removed from the main body when the device is in use but is adequate for removal of a sheath after use. A correlation measurement test was then conducted to evaluate the test results of the compression test. The mechanical testing concluded that the different components of the device would function properly and safely when exposed to loads and configurations representative of normal use.

Biocompatibility - The biological safety of the Vibrance® Pelvic Trainer was evaluated in accordance with ISO 10993-1:2009 and guidance document entitled Use of International Standard ISO-10993-1, "Biological Evaluation of Medical Devices: Part 1: Evaluation and Testing within a Risk Management Process" dated 16 June 2016. Under these, for the stated indications for use, each component of the device's biological safety was evaluated for in vitro cytotoxicity, skin sensitization, and vaginal irritation.

  • In Vitro Cytotoxicity test was performed according to ISO 10993-12 and ISO 10993- 5, with the results suggesting that the test articles did not induce a cytotoxic effect.
  • Skin Sensitization (Maximization Test) was performed according to ISO 10993-10, with the results suggesting that the device extracts did not produce skin sensitization in guinea pigs.
  • . Irritation (Vaginal Irritation Study) was performed on New Zealand White Rabbits according to ISO 10993-10, with the results showing that there were no significant clinical signs and gross findings in either the control or test group, and there were no mortalities.

8

Electrical Safety and Electromagnetic Compatibility - The Vibrance® Pelvic Trainer complies with the applicable voluntary standards which include:

  • . IEC 60601-1:2005 + A1:2012 Medical Electrical Equipment: Part 1: General Requirements for Basic Safety and Essential Performance.
  • IEC 60601-1-11 Requirements for Medical Electrical Equipment and Medical Electrical Systems Used in the Home Healthcare Environment (Recognition Number 19-6)
  • IEC 60601-1-2:2014 (4" edition) Medical electrical equipment - Part 1-2: General reguirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances

The Vibrance® Pelvic Trainer complies with these voluntary standards for Electrical Safety, Electromagnetic Compatibility, and for systems used in the home healthcare environment.

Software - Software information was provided in accordance with the FDA Guidance document, Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, dated May 11, 2005.

Risk Analysis - Formal Risk Assessment of the Vibrance® Pelvic Trainer was performed in accordance with ISO 14971. With respect to perceivable conditions in which the device would be subjected to a worst-case environmental or human error scenario, Bioinfinity believes the outcomes of these risks are considered acceptable within the context of ISO 14971, and that all potential risks have been mitigated to the lowest form.

10. Performance Testing Summary

As part of demonstrating safety and effectiveness of Vibrance® Pelvic Trainer and in showing substantial equivalence to the predicate devices that are subject to this 510(k) submission, Bioinfinity (M) Sdn. Bhd. completed a number of tests. The Vibrance® Pelvic Trainer meets all the requirements for overall design, biocompatibility, and electrical safety testing performance confirm that the output meets the design inputs and specifications. The Vibrance® Pelvic Trainer passed all testing stated above as shown by the acceptable results obtained.

The Vibrance® Pelvic Trainer complicable voluntary standards for biocompatibility. The device passed all the testing in accordance with national and international standards.

11. Statement of Substantial Equivalence

lt has been shown in this 510(k) submission that the differences between the Vibrance® Pelvic Trainer and the predicate device do not raise any different questions regarding its safety and effectiveness. The performance testing provided demonstrates that the subject device is as safe and effective as the predicate device. The Bioinfinity (M) Sdn. Bhd. Vibrance® Pelvic Trainer, as designed and manufactured, is determined to be substantially equivalent to the referenced predicate device.