K Number
K163150
Device Name
ViMove2
Manufacturer
Date Cleared
2017-07-14

(247 days)

Product Code
Regulation Number
890.1375
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
ViMove2 is a wireless medical device that measures, records, and reports movements and muscle activity of the lower back / lumbar spine. The system also measures range of motion in the sagittal and coronal anatomical planes.
Device Description
ViMove2 is a wireless electronic device used by healthcare professionals to accurately measure, record and analyze movement and muscle activity of the lower back. The device obiectively measures, records and analyzes angular movement and muscle activity. Under the direction of the healthcare professional, the software quides the patient through a series of dynamic movements and static postures in standing and sitting positions. ViMove2 then measures the range of motion and muscle activity, streams the data live via BTLE to a host device, e.g. PC, tablet or smart phone, and generates a personalized assessment report including comparisons to normative values. ViMove2 is comprised of the following key components: - · 4 Wireless Sensors (2 movement and 2 muscle activity) - · Disposable Application Pads for attaching sensors to the patient. - · ViMove software package
More Information

Not Found

No
The summary describes objective measurement and analysis of movement and muscle activity, comparison to normative values, and report generation. There is no mention of AI/ML terms, image processing, or descriptions of training/test sets typically associated with AI/ML development. The analysis appears to be based on direct sensor data and comparison to pre-defined normative ranges.

No
The device measures and records movements and muscle activity, and generates assessment reports. It does not provide treatment or therapy.

Yes

Explanation: The device measures, records, and reports movements and muscle activity, and generates a personalized assessment report including comparisons to normative values, which are characteristics of a diagnostic device.

No

The device description explicitly lists hardware components: 4 Wireless Sensors and Disposable Application Pads.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • ViMove2 Function: ViMove2 measures and records physical movement and muscle activity of the lower back. It does not analyze biological samples taken from the body.
  • Intended Use: The intended use describes measuring and reporting on physical movement and muscle activity, not analyzing biological markers.
  • Device Description: The description focuses on sensors that attach to the body to measure physical parameters (movement and muscle activity), not on analyzing samples.

Therefore, ViMove2 falls under the category of a medical device that measures physiological parameters in vivo (within the living body), not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

ViMove2 is a wireless medical device that measures, records, and reports movements and muscle activity of the lower back / lumbar spine. The system also measures range of motion in the sagittal and coronal anatomical planes.

Product codes

IKN, HCC, KQX

Device Description

ViMove2 is a wireless electronic device used by healthcare professionals to accurately measure, record and analyze movement and muscle activity of the lower back. The device obiectively measures, records and analyzes angular movement and muscle activity.

Under the direction of the healthcare professional, the software quides the patient through a series of dynamic movements and static postures in standing and sitting positions. ViMove2 then measures the range of motion and muscle activity, streams the data live via BTLE to a host device, e.g. PC, tablet or smart phone, and generates a personalized assessment report including comparisons to normative values.

ViMove2 is comprised of the following key components:

  • · 4 Wireless Sensors (2 movement and 2 muscle activity)
  • · Disposable Application Pads for attaching sensors to the patient.
  • · ViMove software package

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lower back / lumbar spine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare professionals

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)

In support of the modifications presented in this 510(k), testing was performed to validate ViMove2 for assessment of lumbo-pelvic range of motion (ROM) and posture, including flexion, extension, lateral flexion, normal standing lordotic angle, pelvic tilt (sitting and standing) and various sitting postures (normal, upright and slouched).

Additional design verification was performed on the ViMove2 in accordance with 21 CFR 820.30, including testing to demonstrate compliance testing to the following standards:
ISO 14971 Medical Devices - Application of Risk Management to Medical Devices
ISO 13485 Medical devices - Quality management systems - Requirements for regulatory purposes
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
ISO 15223 Medical devices - Symbols to be used with medical device labels, labeling, and information to be supplied - Part 1: General requirements.
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
IEC 62366 Medical devices - Application of usability engineering to medical devices.
IEC 62304 Medical device software - Software life cycle processes.

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

Not Found

Predicate Device(s)

K142494

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.1375 Diagnostic electromyograph.

(a)
Identification. A diagnostic electromyograph is a device intended for medical purposes, such as to monitor and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor and display the electrical activity produced by nerves, for the diagnosis and prognosis of neuromuscular disease.(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). The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, composed of three human profiles facing right. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the caduceus.

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

July 14, 2017

Dorsavi Ltd % Bosmat Friedman Regulatory Consultant Pushmed LLC 1208-12 Rockford Rd Toronto, LAJ 7Y9 CA

Re: K163150 Trade/Device Name: ViMove2 Regulation Number: 21 CFR 890.1375 Regulation Name: Diagnostic Electromyograph Regulatory Class: Class II Product Code: IKN, HCC, KQX Dated: June 16, 2017 Received: June 16, 2017

Dear Bosmat Friedman:

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,

Michael J. Hoffmann -S

Carlos L. Peña, PhD, MS for 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) K163150

Device Name ViMove2

Indications for Use (Describe)

ViMove2 is a wireless medical device that measures, records, and reports movements and muscle activity of the lower back / lumbar spine. The system also measures range of motion in the sagittal and coronal anatomical planes.

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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510(k) Summary (as required by section 807.92(c))

VIMOVE2

510(K) NUMBER

K163150

I. SUBMITTER

dorsaVi Ltd Level 1, 120 Jolimont Road East Melbourne 3002, Australia Establishment Registration No. 3010872373 Owner Operator Number: 10046462

Contact Person: Dan Ronchi Phone: +61-(0)3-9652-2191 Fax: +61-(0)3-8610-1024 Email: dr@dorsavi.com

Date Prepared: Oct 15, 2016

II. DEVICE

Trade Name:

Name of Device:

ViMove2

ViMove2

BioFeedback System

Common or Usual Name:

Classification:

Diagnostic Electromyograph Product Code: IKN Regulation No: 890.1375 Requlatory Class: II Classification Panel: Physical Medicine

Electromyograph and Goniometer with

Biofeedback Device Product Code: HCC Regulation No: 882.5050 Requlatory Class: II Classification Panel: Neurology

Goniometer Product Code: KQX Regulation No: 888.1500 Regulatory Class: I Classification Panel: Orthopedic

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III. PREDICATE DEVICE

Predicate Device(s):

ViMove manufactured by dorsaVi Ltd (K142494) (This predicate has not been subject to any product recalls).

IV. DEVICE DESCRIPTION

ViMove2 is a wireless electronic device used by healthcare professionals to accurately measure, record and analyze movement and muscle activity of the lower back. The device obiectively measures, records and analyzes angular movement and muscle activity.

Under the direction of the healthcare professional, the software quides the patient through a series of dynamic movements and static postures in standing and sitting positions. ViMove2 then measures the range of motion and muscle activity, streams the data live via BTLE to a host device, e.g. PC, tablet or smart phone, and generates a personalized assessment report including comparisons to normative values.

ViMove2 is comprised of the following key components:

  • · 4 Wireless Sensors (2 movement and 2 muscle activity)
  • · Disposable Application Pads for attaching sensors to the patient.
  • · ViMove software package

V. INDICATIONS FOR USE

ViMove2 is a wireless medical device that measures, records, and reports movements and muscle activity of the lower back / lumbar spine. The system also measures range of motion in the sagittal and coronal anatomical planes.

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The modified ViMove presented in this 510(k) is substantially equivalent to the predicate in terms of intended use, fundamental scientific technology, operating principles and mechanism of action. The main differences between the devices are a reduction in size of the movement (MDM) and muscle activity (MDE) sensors; changes to battery, electronic components, circuitry and DAPs to accommodate the smaller sensors, the addition of Bluetooth compatibility (BTLE), changes to the user interface and format of the assessment report. The RFD Biofeedback device utilized in the predicate device are no longer required for the modified ViMove2 device.

A summary of the differences between the ViMove predicate and ViMove2 is provided in Table 1 below. A more detailed comparison is provided in Attachment G.

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Predicate ViMoveViMove2
510(k) NumberK142494K163150
ManufacturerdorsaVi LtddorsaVi Ltd
Product codesIKN
HCC
KQXIKN
HCC
KQX
Indications for UseViMove is a wireless
medical device that
measures, records, and
reports movements and
muscle activity of the lower
back / lumbar spine. The
system also measures
range of motion in the
sagittal and coronal
anatomical planes.ViMove is a wireless
medical device that
measures, records, and
reports movements and
muscle activity of the lower
back / lumbar spine. The
system also measures
range of motion in the
sagittal and coronal
anatomical planes.
Non-invasive medical deviceYesYes
System Components4 Wireless Sensors (2 movement MDMs and 2 muscle activity MDEs) Disposable Application Pads (DAPs) for holding the wireless sensors (DAP-M for movement and DAP-E for muscle sensors) Recording and Feedback Device (RFD) Recharging Cradle with AC Adaptor USB ViMove software4 Wireless Sensors (2 movement MDMs and 2 muscle activity MDEs) Disposable Application Pads (DAPs) for holding the wireless sensors (DAP-M for movement and DAP-E for muscle sensors) AC Adaptor USB ViMove software Recharging Cradle with AC Adaptor
Performance data submitted to
support range of motion
measurementsFlexion
Extension
Lateral Flexion
Pelvic Tilt
Single Leg Standing
Sitting (normal, upright and
slouched)Flexion
Extension
Lateral Flexion
Pelvic Tilt
Single Leg Standing
Sitting (normal, upright and
slouched)
Assessment report includesYesYes
normative values for ROM
Provides real time biofeedback to
the userYes (via RFD device)Yes (directly to host
device)
Movement Sensor TypeAccelerometer
Gyroscope
MagnetometerAccelerometer
Gyroscope
Magnetometer
Wireless TypeANTBTLE
Muscle Activity sensorSurface EMGSurface EMG
Battery TypeLithium-PolymerLithium-Polymer
Includes DAPs for holding the
wireless sensorsYesYes
ChargingRecharging Cradle or AC
Adaptor (5VDC)AC Adaptor, USB Port
(5VDC) or Recharging Cradle
Includes dedicated softwareYesYes
Rechargeable batteries in the
sensorsYesYes
Real-time objective measurement
of range of motionYesYes
Report generated for Healthcare
ProfessionalYesYes
Includes Bluetooth compatibility
(BTLE)NoYes

Summary Comparison of the Modified ViMove and Predicate Table 1.

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dorsaVi Ltd. ViMove2 Special 510(k)

VII. PERFORMANCE DATA

In support of the modifications presented in this 510(k), testing was performed to validate ViMove2 for assessment of lumbo-pelvic range of motion (ROM) and posture, including flexion, extension, lateral flexion, normal standing lordotic angle, pelvic tilt (sitting and standing) and various sitting postures (normal, upright and slouched).

Additional design verification was performed on the ViMove2 in accordance with 21 CFR 820.30, including testing to demonstrate compliance testing to the following standards:

| ISO 14971 | Medical Devices - Application of Risk Management to Medical
Devices |
|---------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ISO 13485 | Medical devices - Quality management systems - Requirements for
regulatory purposes |
| 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 |
| ISO 15223 | Medical devices - Symbols to be used with medical device labels,
labeling, and information to be supplied - Part 1: General
requirements. |
| 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 |
| IEC 62366 | Medical devices - Application of usability engineering to medical
devices. |
| IEC 62304 | Medical device software - Software life cycle processes. |

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VIII. CONCLUSIONS

Based on the information provided in this submission, the modified ViMove2 is substantially equivalent to the predicate ViMove device and does not raise any questions relating to safety and/or effectiveness.

The modifications proposed in the ViMove2 do not affect the intended use, fundamental scientific technology, principles of operation or clinical application when compared to the predicate device.