K Number
K170918
Manufacturer
Date Cleared
2017-06-20

(83 days)

Product Code
Regulation Number
890.5850
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

EMS: The Compex Sport Elite is intended to stimulate healthy muscles in order to improve or facilitate muscle performance. The work imposed on the muscles by the Compex is not suitable for rehable for rehabilitation or physiotherapy.

TENS: The Compex Sport Elite TENS is intended for:

· Temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household and work activities

· They symptomatic relief and management of chronic, intractable pain and relief of pain associated with arthritis.

The Compex® Sport Elite is an Over-The-Counter device to be used by adults only.

Device Description

The Compex® Sport Elite is an electrical stimulation device, which stimulates healthy muscles by means of electrical impulses transmitted by electrodes. The electrical pulses generated by the Compex® Sport Elite stimulate motor nerves to stimulate a muscular response. Depending on the parameters of the electrical impulses (pulse frequency, duration of contraction, duration of rest, and total session duration), different types of muscle work can be imposed on the stimulated muscles. The Compex® Sport Elite may therefore be considered a technique of muscle training.

TENS (Transcutaneous Electrical Nerve Stimulation) and NMES (NeuroMuscular Electrical Stimulation) target different nerve groups of the body. TENS is specifically targets the sensory nerves, which are responsible for sending pain signals to the brain. NMES targets the muscle itself, specifically through the motor nerves. This allows the NMES machine to create a muscle contraction to recruit more muscle fibers when training; warming up or recovering.

The Compex® Sport Elite system consists of these components:

  • 1x Stimulator
  • 1x Lead Wire Set
  • 2x Small Performance Snap Electrode package ●
  • 2x Large Performance Snap Electrode package
  • 1x Battery Charger ●

These components are packaged together in a carrying case along with the user guide and a battery charger.

The stimulator is a microprocessor controlled 4 channels electro-stimulator. The stimulator drives each output channel independently based upon the parameters pre-defined for a program selected by the user. The user operates the device through a User Interface (UI) consisting of a graphic LCD, keypad controls and supporting software. The User Interface is made up of different menus that allow the following functions: set up the device (Options Menu), select a desired category (Category Menu), select a preset program (Treatments' Menu), tune a selected program (Stimulation Menu), and adjust the stimulation intensities (Level Menu).

AI/ML Overview

The provided document is a 510(k) premarket notification for the Compex® Sport Elite, a powered muscle stimulator. It focuses on demonstrating substantial equivalence to predicate devices (Compex Sport Plus and Strive) rather than providing extensive clinical study data for acceptance criteria.

Therefore, the information requested regarding a study proving acceptance criteria for device performance is largely not available in this document. The document primarily describes the technical characteristics of the new device and compares them to predicate devices, along with adherence to electrical safety, electromagnetic compatibility, software verification, and usability standards.

Here's a breakdown of the available information based on your request:

1. A table of acceptance criteria and the reported device performance

The document does not explicitly state "acceptance criteria" for a study in numerical terms like sensitivity, specificity, or improvement effect size. Instead, it demonstrates compliance with recognized medical device standards and provides detailed comparisons of technical specifications to predicate devices. The "performance" is therefore reported in terms of these technical characteristics.

Acceptance Criteria (Inferred/Stated)Reported Device Performance (Compex Sport Elite)
Electrical Safety & Essential Performance (as per IEC 60601-1)Complies with IEC 60601-1
Electromagnetic Compatibility (as per IEC 60601-1-2)Complies with IEC 60601-1-2
Use in Home Healthcare Environment (as per IEC 60601-1-11)Complies with IEC 60601-1-11
Performance of Nerve and Muscle Stimulators (as per IEC 60601-2-10)Complies with IEC 60601-2-10
Software Verification (meets design requirements)Software verified in accordance with FDA guidance "General Principles of Software Validation, January 11, 2002." Demonstrated to meet design requirements. Cybersecurity vulnerability and management approach established.
Usability/Human Factors (meets requirements, appropriate for users/environment, mitigates use-related risks)Usability/Human Factors testing performed. Demonstrated that established requirements for usability were met, and the design is appropriate for intended users and use environment. The study substantiates acceptability of use-related risks.
Conformity with other standards (e.g., Risk Management, Software Life Cycle)Complies with ISO 14971 (Risk Management) and AAMI/ANSI /IEC 62304 (Software Life Cycle Processes).
Technical Specifications (e.g., Waveform, Max Output Voltage/Current, Pulse Width, Frequency, Net Charge, Max Phase Charge, Max Current Density, Max Power Density)Detailed specifications are provided in the comparison tables for the new device (Compex Sport Elite) and predicate devices. For most parameters (waveform, shape, voltages, currents, pulse widths, frequencies for NMES programs), the Compex Sport Elite matches or is similar to the Compex Sport Plus. For TENS specific parameters, it aligns with or is similar to the Strive. Differences are noted but deemed not to raise safety and effectiveness questions (e.g., Compex Sport Elite has two output modes (NMES/TENS) vs. Compex Sport Plus (NMES) and Strive (TENS)). Specific values are extensive in the source document and are essentially the "reported performance" for these technical aspects.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

This information is not provided in the document. The performance testing described (electrical safety, EMC, software, usability) are typically internal validation tests and not clinical studies involving patient data.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This information is not provided. The "ground truth" in this context would likely be compliance with engineering standards, software requirements, and usability principles, assessed by engineers and human factors specialists rather than medical experts for clinical outcomes.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This information is not provided. Standard engineering and software verification often involve peer reviews and structured testing, but specific adjudication methods like those used in clinical trials (e.g., 2+1 consensus) are not applicable or mentioned here.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

No MRMC comparative effectiveness study was done or reported. This device is a muscle stimulator, not an AI diagnostic tool, so this type of study is not relevant to its regulatory submission.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

The device is a physical muscle stimulator and does not involve AI algorithms in the way described for "standalone performance" in AI/CADe devices. Its "standalone performance" is essentially its ability to meet the technical specifications and safety standards independently. This was assessed through the electrical safety, EMC, software verification, and usability testing, as detailed above.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

The "ground truth" for this submission is compliance with:

  • Recognized consensus standards (IEC 60601-1, -1-2, -1-11, -2-10, IEC 62366, ISO 14971, AAMI/ANSI/IEC 62304).
  • Design requirements for software functionality.
  • Usability requirements for safe and effective user interaction.

There is no mention of clinical expert consensus, pathology, or outcomes data being used as ground truth for this 510(k) submission, as the submission explicitly states: "This submission does not contain clinical data."

8. The sample size for the training set

This information is not applicable/not provided for this type of device and submission. The device is not an AI/machine learning model that requires a "training set."

9. How the ground truth for the training set was established

This information is not applicable/not provided as there is no "training set" for this device.

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

June 20, 2017

DJO, LLC Neeta Sharma Sr. Director, Regulatory Affairs 1430 Decision Street Vista. California 92081

Re: K170918

Trade/Device Name: Compex Sport Elite Regulation Number: 21 CFR 890.5850 Regulation Name: Powered Muscle Stimulator Regulatory Class: Class II Product Code: NGX, NUH, NYN Dated: March 28, 2017 Received: March 29, 2017

Dear Neeta Sharma:

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 device-

Image /page/0/Picture/11 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

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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.

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

for

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) K170918

Device Name Compex Sport Elite

Indications for Use (Describe)

EMS: The Compex Sport Elite is intended to stimulate healthy muscles in order to improve or facilitate muscle performance. The work imposed on the muscles by the Compex is not suitable for rehable for rehabilitation or physiotherapy.

TENS: The Compex Sport Elite TENS is intended for:

· Temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household and work activities

· They symptomatic relief and management of chronic, intractable pain and relief of pain associated with arthritis.

The Compex® Sport Elite is an Over-The-Counter device to be used by adults only.

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

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

The assigned 510(k) number is K170918.

Submitted by:DJO, LLC1430 Decision StreetVista, CA 92081FDA Establishment Registration: 2020737
Contact Person:Neeta SharmaSr. Director, Regulatory Affairs760-734-3551
Date Summary Prepared:June 19, 2017
Trade Name:Compex® Sport Elite
Classification Name:Stimulator, muscle, powered (21 CFR 890.5850)Stimulator, Nerve, Transcutaneous (21 CFR 882. 5890)
Product Code:Powered Muscle Stimulator, For Muscle Conditioning – 21 CFR890.5850; Product Code NGX; Review Panel: Physical Medicine(primary product code)
Stimulator, Nerve, Transcutaneous, Over-The-Counter- 21 CFR 882.5890;Product Code NUH; Review Panel: Neurology
Stimulator, Electrical, Transcutaneous, For Arthritis 21 CFR 890.5850;Product Code NYN (subsequent code); Review Panel: Neurology
Regulatory Class:Class II
Predicate Device:Compex Sport Plus (K083140) - Class II(primary predicate device)Strive (K153704) - Class II

Device Description:

The Compex® Sport Elite is an electrical stimulation device, which stimulates healthy muscles by means of electrical impulses transmitted by electrodes. The electrical pulses generated by the Compex® Sport Elite stimulate motor nerves to stimulate a muscular response. Depending on the

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parameters of the electrical impulses (pulse frequency, duration of contraction, duration of rest, and total session duration), different types of muscle work can be imposed on the stimulated muscles. The Compex® Sport Elite may therefore be considered a technique of muscle training.

TENS (Transcutaneous Electrical Nerve Stimulation) and NMES (NeuroMuscular Electrical Stimulation) target different nerve groups of the body. TENS is specifically targets the sensory nerves, which are responsible for sending pain signals to the brain. NMES targets the muscle itself, specifically through the motor nerves. This allows the NMES machine to create a muscle contraction to recruit more muscle fibers when training; warming up or recovering.

The Compex® Sport Elite system consists of these components:

  • 1x Stimulator
  • 1x Lead Wire Set
  • 2x Small Performance Snap Electrode package ●
  • 2x Large Performance Snap Electrode package
  • 1x Battery Charger ●

These components are packaged together in a carrying case along with the user guide and a battery charger.

The stimulator is a microprocessor controlled 4 channels electro-stimulator. The stimulator drives each output channel independently based upon the parameters pre-defined for a program selected by the user. The user operates the device through a User Interface (UI) consisting of a graphic LCD, keypad controls and supporting software. The User Interface is made up of different menus that allow the following functions: set up the device (Options Menu), select a desired category (Category Menu), select a preset program (Treatments' Menu), tune a selected program (Stimulation Menu), and adjust the stimulation intensities (Level Menu).

Indications for Use:

The Compex Sport Elite EMS is used for:

The Compex Sport Elite is intended to stimulate healthy muscles in order to improve or facilitate muscle performance.

The work imposed on the muscles by the Compex Sport Elite programs is definitely not suitable for rehabilitation and physiotherapy.

The Compex Sport Elite TENS is intended for:

  • Temporary relief of pain associated with sore and aching muscles due to strain from exercise or ● normal household and work activities
  • The symptomatic relief and management of chronic, intractable pain and relief of pain ● associated with arthritis.

The Compex Sport Elite is an Over-the-Counter device to be used by adults only.

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Comparison to the Predicate Device:

The indications for use for the Compex® Sport Elite are similar to those of the predicate devices, Compex Sport Plus (K083140) and Strive (K153704).

The technological characteristics of the predicate devices are very similar, but there are a few minor differences.

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Basic Unit Characteristics - Comparison with Predicate Device
CharacteristicNew DevicePredicate DevicePredicate DeviceSimilar/Different
1510(k) NumberPendingK083140K153704
2Device Name, ModelCompex Sport EliteCompex Sport PlusStrive
3ManufacturerDJO, LLCDJO, LLC510(k) sponsor:ChattanoogaGroupDJO, LLCSimilar
4Prescription/OTCOTCOTCOTCSimilar
5Type of deviceA non-implantable,battery powered, handheld, electricalstimulator, used formedical purposesthrough applying anelectrical current toelectrodes on apatient's skinA non-implantable,battery powered, handheld, electricalstimulator, used formedical purposesthrough applying anelectrical current toelectrodes on a patient'sskinA non-implantable,battery powered, handheld, electricalstimulator, used formedical purposesthrough applying anelectrical current toelectrodes on apatient's skinSimilar
6Indications for UseThe Compex SportElite EMS is used for:The Compex SportElite is intended tostimulate healthymuscles in order toimprove or facilitatemuscle performance.The work imposed onthe muscles by theCompex Sport Eliteprograms is definitelyThe Compex SportElite is intended tostimulate healthymuscles in order toimprove or facilitatemuscle performance.The Compex Sport Eliteis not intended foradjunctive therapy inthe treatment of medicaldiseases and conditionsof any kind. None ofthe Compex Sport EliteOver the CounterUse: The Strive™TENS device isused for: -temporary relief ofpain associated withsore and achingmuscles due tostrain from exerciseor normalhousehold and workactivities. -thesymptomatic reliefNMES -Indicationfor use are the sameas Compex SportPlus deviceandTENS-Indication for useare the same asStrive
not suitable forrehabilitation andphysiotherapy.stimulation programs aredesigned for injured ordisease afflictedmuscles. Its use on suchmuscles iscontraindicated. Thework imposed on themuscles by the CompexSport Elite programs isdefinitely not suitablefor rehabilitation andphysiotherapy.The Compex SportElite electricalimpulses allow thetriggering of actionpotentials onmotoneurones ofmotor nerves(excitations).These excitations ofmotoneurones aretransmitted to themuscle fibers via themotor endplate wherethey generatemechanical musclefiber responses thatcorrespond to musclework.Depending on theparameters of theelectrical impulses(pulse frequencyand management ofchronic, intractablepain and relief ofpain associated witharthritis.
The Compex SportElite TENS is intendedfor:• Temporary relief ofpain associated withsore and achingmuscles due tostrain from exerciseor normalhousehold and workactivities• The symptomaticrelief andmanagement ofchronic, intractablepain and relief ofpain associated witharthritis.The Compex SportElite is an Over-the-Counter device to beused by adults only.
duration ofcontraction, durationof rest, total sessionduration), differenttypes of muscle workcan be imposed on thestimulated muscles.The Compex Sport Elitemay therefore beconsidered a techniqueof muscle training.
7Connection of device toelectrodesLead wiresWith 6-pole cablesincluding femalecustom SNAPplugged on thecustom Compexfemale SNAPassembled in theelectrode. Entireelectronic circuit forfour (4) StimulationChannels and UserInterface is combinedinto same casing,connected to theelectrodes with 6-pole cables.Lead wiresWith 6-pole cablesincluding female customSNAP plugged on thecustom Compex femaleSNAP assembled in theelectrode. Entireelectronic circuit forfour (4) StimulationChannels and UserInterface is combinedinto same casing,connected to theelectrodes with 6-polecables.Lead wiresSimilar
8Power SourcesRechargeable Ni-MhBattery 4.8V (4 cellsAA=R6)Rechargeable Ni-MhBattery 4.8V (4 cellsAA=R6)LiPo 250 [mAh](3.7[V]), not removableSame as CompexSport PlusDifferent fromStrive
Method of line currentisolationN/A (battery operateddevice)N/A (batteryoperated device)N/A (battery operateddevice)Similar
Patient Leakage CurrentN/A (battery operated device)N/A (battery operated device)N/A (battery operated device)Similar
• Normal conditionN/A (battery operated device)N/A (battery operated device)N/A (battery operated device)Similar
• Single fault conditionN/A (battery operated device)N/A (battery operated device)N/A (battery operated device)Similar
9Number of Output ModesTwo (NMES/TENS)One (NMES)Two (2 x TENS)Different
10Number of Output ChannelsFourFour1, splitSame as CompexSport PlusDifferent fromStrive
Synchronous or Alternating?Synchronous, but never 2 channels activated at the same timeSynchronous, but never 2 channels activated at the same timeN/ASame as CompexSport PlusDifferent fromStrive
Method of Channel IsolationEach channel is the middle of a H-Bridge. Except when it is activated, each channel is always in high impedance state.Each channel is the middle of a H- Bridge. Except when it is activated, each channel is always in high impedance state.N/ASame as CompexSport PlusDifferent fromStrive
11Regulated Current or Regulated Voltage?Regulated current (all channels)Regulated current (all channels)Regulated CurrentSimilar
12Software/Firmware/Microprocessor Control?YesYesYesSimilar
13Automatic Overload Trip?YesYesNoSame as CompexSport PlusDifferent fromStrive
14Automatic No-Load Trip?YesYesYesSimilar
15Automatic Shut Off?"On/Off" switch"On/Off" switch"On/Off" switchSimilar
ા ર17Patient Override Control?Indicator DisplayYesYesNoSame as CompexSport PlusDifferent fromStriveSimilar
On/Off Status?।YesYesYes
Low Battery?-YesYesNoSame as CompexSport PlusDifferent fromStrive
Voltage/Current Level?Yes, unit =[Energy]Yes, unit =[Energy]Active/inactive outputSame as CompexSport PlusDifferent fromStrive
18Timer Range (minutes)Yes, unit=[seconds], max = 55[minutes]Yes, unit= [seconds],max = 55 [minutes]UnlimitedSame as CompexSport PlusDifferent fromStrive
19Compliance withVoluntaryStandards?Yes-IEC 60601-1-IEC 60601-1-2-IEC 60601-1-6-IEC 60601-2-10-IEC60601-1-11-IEC 62366-IEC 62304Yes-IEC 60601-1-IEC 60601-1-2-IEC 60601-1-4-IEC 60601-2-10Yes-IEC 60601-1-IEC 60601-1-2-IEC 60601-1-11-IEC 60601-2-10-IEC 60601-1-6Different
20Compliance with 21CFR 898?YesYesYesSimilar
21Weight300 [g]300 [g]0.99 ozSame as CompexSport PlusDifferent fromStrive
22Dimensions [W x H x D]99 x 142 x 36 [mm]3.9 x 5.6 x 1.4 [in]99 x 142 x 36 [mm]3.9 x 5.6 x 1.4 [in]49 mm x 64mm x 14mmSame as CompexSport Plus
Different fromStrive
23Housing Materials andConstructionCasing:Plastic (ABS,with PMMAon thewindows)Buttons:SiliconrubberBattery Pack: RigidABS housingaround the batterycellsBattery contacts: SK5steelCasing: Plastic(ABS, withPMMA on thewindows)Buttons:Silicon rubberBattery Pack: RigidABS housing aroundthe battery cellsBattery contacts:SK5 steelCasing: Plastic(ABS+PC)Buttons: silicons rubberSimilar
24Programs- Endurance- Resistance- Strength- Explosive Strength- Potentiation- Training Recovery(same as ActiveRecovery)- CompetitionRecovery (same asRecovery Plus)- Pre-WarmupProgram- Muscle Relaxation(same as Massage)-Pain relief TENS(same as FM)- Endurance- Resistance- Strength- Explosive Strength- Potentiation- Active Recovery- Recovery Plus- Pre-Warmup- MassageFrequency Modulation(FM) and SMPDifferent
25ElectrodesArticle number :11-911911-9120Article number :11-911911-9120Article number:6250900Same as Sport PlusDifferent fromStrive
Output Specifications – Comparison with Predicate Device
CharacteristicNew DevicePredicate DevicePredicate DeviceSimilar/Different
1510(k) NumberPendingK083140K153704
2Device Name, ModelCompex Sport EliteCompex Sport PlusStrive
3ManufacturerDJO, LLCDJO, LLC510(k) sponsor:Chattanooga GroupDJO, LLCSimilar
4Waveform (program perprogram)-Endurance:Symmetrical Biphasic-Resistance:Symmetrical Biphasic-Strength :Symmetrical Biphasic-Explosive Strength:Symmetrical Biphasic-Potentiation:Symmetrical Biphasic-Training Recovery(same as ActiveRecovery):Symmetrical Biphasic-CompetitionRecovery (same asRecovery Plus):SymmetricalBiphasic-Pre-WarmupProgram: Symmetrical-Endurance:Symmetrical Biphasic-Resistance:Symmetrical Biphasic-Strength : SymmetricalBiphasic-Explosive Strength:Symmetrical Biphasic-Potentiation:Symmetrical Biphasic-Active Recovery:Symmetrical Biphasic-Recovery Plus:SymmetricalBiphasic-Pre-Warmup Program:Symmetrical Biphasic-Massage: SymmetricalBiphasicSame asCompex SportPlusDifferent fromStrive
Biphasic-Muscle Relaxation(same as Massage):Symmetrical Biphasic-Pain relief TENS(same as FM):Balanced, asymetricalBiphasicBalanced, AsymmetricalBiphasicSame as StriveDifferent fromCompex SportPlus
5Shape (program per program)-Endurance:Rectangular-Resistance:Rectangular-Strength :Rectangular-Explosive Strength:Rectangular-Potentiation:Rectangular-Training Recovery(same as ActiveRecovery):Rectangular-CompetitionRecovery (same asRecovery Plus):Rectangular-Pre-WarmupProgram: Rectangular-Muscle Relaxation(same as Massage):Rectangular-Endurance: Rectangular-Resistance: Rectangular-Strength : Rectangular-Explosive Strength:Rectangular-Potentiation:Rectangular-Active Recovery:Rectangular-Recovery Plus:Rectangular-Pre-Warmup Program:Rectangular- Massage: RectangularSquare positive pulse,current controlledLogarithmic negativeSame asCompex SportPlusDifferent fromStrive
Different from
-Pain relief TENS(same as FM):Compex SportPlus
6Maximum Output Voltage (± 10%)Endurance:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩEndurance:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩSame asCompex SportPlusDifferent fromStrive
Resistance:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩResistance:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩSame asCompex SportPlusDifferent fromStrive
Strength:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩStrength:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩSame asCompex SportPlusDifferent fromStrive
Explosive Strength:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩExplosive Strength:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩSame asCompex SportPlusDifferent fromStrive
Potentiation:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩPotentiation:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩSame asCompex SportPlusDifferent fromStrive
Training Recovery:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩTraining Recovery:60 V @ 500 Ω165 V @ 2 ΚΩ165 V @ 10 ΚΩSame asCompex SportPlusDifferent fromStrive

Device Comparison Tables

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CompetitionRecovery:60 V @ 500 Ω165 V @ 2 kΩ165 V @ 10 kΩPre Warmup60 V @ 500 Ω165 V @ 2 kΩ165 V @ 10 kΩMuscle Relaxation:60 V @ 500 Ω165 V @ 2 kΩ165 V @ 10 kΩPain Relief TENS:165[V] peak on10[kΩ]152[V] peak on 2[kΩ]60[V] peak on 500[Ω]Competition Recovery:60 V @ 500 Ω165 V @ 2 kΩ165 V @ 10 kΩPre Warmup60 V @ 500 Ω165 V @ 2 kΩ165 V @ 10 kΩMuscle Relaxation:60 V @ 500 Ω165 V @ 2 kΩ165 V @ 10 kΩ110[V] peak on 10[kΩ]110[V] peak on 2[kΩ]30[V] peak on 500[Ω]Same asCompex SportPlusDifferent fromStriveSame asCompex SportPlusDifferent fromStriveSame asCompex SportPlusDifferent fromStriveSame asCompex SportPlusDifferent fromStriveDifferent fromStrive and fromCompex SportPlus

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7Maximum Output Current (± 10%)Endurance:Endurance:Same as
120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩ120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩCompex SportPlusDifferent fromStrive
Resistance:Resistance:
120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩ120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩSame asCompex SportPlusDifferent fromStrive
Strength:Strength:
120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩ120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩSame asCompex SportPlusDifferent fromStrive
Explosive Strength:Explosive Strength:
120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩ120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩSame asCompex SportPlusDifferent fromStrive
Potentiation:Potentiation:
120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩ120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩSame asCompex SportPlusDifferent fromStrive
Training Recovery:Training Recovery:
120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩ120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩSame asCompex SportPlusDifferent fromStrive
CompetitionRecovery:Competition Recovery:Same as
120 mA @ 500 Ω82 mA @ 2 kΩ120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩCompex SportPlus
8Pulse Width16 mA @ 10 kΩPre Warmup120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩMuscle Relaxation:120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩPain Relief TENS:12[mA] peak@10[kΩ]76[mA] peak@2[kΩ]119[mA]peak@500[Ω]Pre Warmup120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩMuscle Relaxation:120 mA @ 500 Ω82 mA @ 2 kΩ16 mA @ 10 kΩ12[mA] peak @10[kΩ]55[mA] peak@2[kΩ]60[mA] peak@500[Ω]Different fromStriveSame asCompex SportPlusDifferent fromStriveSame asCompex SportPlusDifferent fromStriveSame asCompex SportPlusDifferent fromStrive
Different fromStrive and fromCompex SportPlus
Endurance:200 to 400 [μs]Endurance:200 to 400 [μs]Same asCompex SportPlus
Resistance:200 to 400 [μs]Resistance:200 to 400 [μs]Different fromStriveSame asCompex SportPlus
Strength:Strength:
200 to 400 [μs]200 to 400 [μs]Different fromStriveSame asCompex SportPlus
Explosive Strength:Explosive Strength:
200 to 400 [μs]200 to 400 [μs]Different fromStriveSame asCompex SportPlus
Potentiation:Potentiation:
200 to 400 [μs]200 to 400 [μs]Different fromStriveSame asCompex SportPlus
Training Recovery:Training Recovery:
200 to 400 [μs]200 to 400 [μs]Different fromStriveSame asCompex SportPlus
CompetitionRecovery:Competition Recovery:
200 to 400 [μs]200 to 400 [μs]Different fromStriveSame asCompex SportPlus
Pre WarmupPre Warmup
200 to 400 [μs]200 to 400 [μs]Different fromStriveSame asCompex SportPlus
Muscle Relaxation:Muscle Relaxation:
200 to 400 [μs]200 to 400 [μs]Different fromStriveSame asCompex SportPlus
Pain Relief TENS:70 to 300[μs](measured at 50% ofpositive pulse)70 to 300[μs] (measured at50% of positive pulse)Different fromStrive
Same asCompex SportPlusDifferent fromStrive
Same as Strive,different fromCompex SportPlus
9FrequencyEndurance:10 [Hz]Endurance:10 [Hz]Same asCompex SportPlusDifferent fromStrive
Resistance:50 [Hz]Resistance:50 [Hz]
Strength:75 [Hz]Strength:75 [Hz]
Explosive Strength:100 [Hz]Potentiation:From 1 to 75 [Hz]Explosive Strength:100 [Hz]Potentiation:From 1 to 75 [Hz]
Training Recovery:10 [Hz]Training Recovery:10 [Hz]
CompetitionRecovery:0.5 [Hz]Competition Recovery:0.5 [Hz]
Pre WarmupPre Warmup4 [Hz]
4 [Hz]Muscle Relaxation:1 [Hz]Pain Relief TENS:5 to 122[Hz]Muscle Relaxation:1 [Hz]5 to 122[Hz]Same as Strive,different fromCompex SportPlus
10For interferential modes only:- Beat Frequency [Hz]N/AN/AN/ASimilar
11For multiphasic waveformsonly:- Symmetrical phases?- Phase Duration (include units)(state range, if applicable)(both phases, if asymmetrical)Endurance:Symmetrical, 280 -400 μsResistance:Symmetrical, 280 -400 μsStrength:Symmetrical, 280 -400 μsExplosive Strength:Symmetrical, 280 -400 μsEndurance:Symmetrical, 280 - 400μsResistance:Symmetrical, 280 - 400μsStrength:Symmetrical, 280 - 400μsExplosive Strength:Symmetrical, 280 - 400μsSame asCompex SportPlusDifferent fromStriveSame asCompex SportPlusDifferent fromStriveSame asCompex SportPlusDifferent fromStriveSame asCompex SportPlusDifferent fromStrive
Potentiation:Potentiation:
Symmetrical, 280 -400 µsSymmetrical, 280 - 400µsSame asCompex SportPlusDifferent fromStrive
Training Recovery:Training Recovery:Same asCompex SportPlusDifferent fromStrive
Symmetrical, 280 -400 µsSymmetrical, 280 - 400 µs
CompetitionRecovery:Competition Recovery:Same asCompex SportPlusDifferent fromStrive
Symmetrical, 280 -400 µsSymmetrical, 280 - 400 µs
Pre WarmupPre WarmupSame asCompex SportPlusDifferent fromStrive
Symmetrical, 280 -400 µsSymmetrical, 280 - 400 µs
Muscle Relaxation:Muscle Relaxation:Same asCompex SportPlusDifferent fromStrive
Symmetrical, 280 -400 µsSymmetrical, 280 - 400 µs
Pain Relief TENS:Biphasic:- Asymmetrical- 70 to 300[µs] for positivepulse, logarithmic negativepulse, decrease current.
Symmetrical, 70 -300 µs
12Net Charge [µC/pulse]
Endurance:0 [µC] @ 500ΩExcitation pulse fullycompensatedEndurance:0 [µC] @ 500ΩExcitation pulse fullycompensatedDifferent fromCompex SportPlus and Strive
Resistance:0 [µC] @ 500ΩExcitation pulse fullycompensatedResistance:0 [µC] @ 500ΩExcitation pulse fullycompensatedSame asCompex SportPlusDifferent fromStrive
Strength:0 [µC] @ 500ΩExcitation pulse fullycompensatedStrength:0 [µC] @ 500ΩExcitation pulse fullycompensatedSame asCompex SportPlusDifferent fromStrive
Explosive Strength:0 [µC] @ 500ΩExcitation pulse fullycompensatedExplosive Strength:0 [µC] @ 500ΩExcitation pulse fullycompensatedSame asCompex SportPlusDifferent fromStrive
Potentiation:0 [µC] @ 500ΩExcitation pulse fullycompensatedPotentiation:0 [µC] @ 500ΩExcitation pulse fullycompensatedSame asCompex SportPlusDifferent fromStrive

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Training Recovery:0 [μC] @ 500ΩExcitation pulse fullycompensatedTraining Recovery:0 [μC] @ 500ΩExcitation pulse fullycompensatedSame asCompex SportPlusDifferent fromStrive
CompetitionRecovery:0 [μC] @ 500ΩExcitation pulse fullycompensatedCompetition Recovery:0 [μC] @ 500ΩExcitation pulse fullycompensatedSame asCompex SportPlusDifferent fromStrive
Pre Warmup0 [μC] @ 500ΩExcitation pulse fullycompensatedPre Warmup0 [μC] @ 500ΩExcitation pulse fullycompensatedSame asCompex SportPlusDifferent fromStrive
Muscle Relaxation:0 [μC] @ 500ΩExcitation pulse fullycompensatedMuscle Relaxation:0 [μC] @ 500ΩExcitation pulse fullycompensatedSame asCompex SportPlusDifferent fromStrive
Pain Relief TENS:0 [μC] @ 500ΩExcitation pulse fullycompensated18[uC] on 1[kΩ]

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Different fromCompex SportPlus and Strive
13Maximum Phase Charge [µC]48 [µC] @ 500Ω48 [µC] @ 500Ω0[uC] on 1[kΩ]Same asCompex SportPlusDifferent fromStrive
14Maximum Current Density[mA/cm²]4.8 [mA/cm²] @500Ω4.8 [mA/cm²] @ 500Ω0.31[mA/cm2] (over 1[s]period)Same asCompex SportPlusDifferent fromStrive
15Maximum Power Density[mW/cm²]27.6 [mW/cm²] @500Ω27.6 [mW/cm²] @500Ω4.92[mW/cm2](split on 2x1[ΚΩ] in //)Same asCompex SportPlusDifferent fromStrive
16Burst Mode (i.e. pulse trains)a) Pulses per burstb) Bursts per secondc) Burst duration (seconds)Duty Cycle [Line (b) x Line(c)]N/A, no burst modeN/A, no burst modeN/A, no burst modeSimilar
17ON Time (seconds)Depends on theselected programDepends on theselected programOnce started, the output isactive until user manuallystops the unitSame asCompex SportPlusDifferent fromStrive
18OFF Time (seconds)Depends on theselected programDepends on theselected programN/A, no OFF timeSame asCompex SportPlusDifferent fromStrive
19Additional Features (ifapplicable)N/AN/AN/ASimilar

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Although there are minor differences observed between the subject devices, those differences do not raise any question in regards to safety and effectiveness.

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Performance Testing:

Electrical Safety and Electromagnetic Compatibility: The Compex Sport Plus was tested and found to comply with the following standards for electrical safety and electromagnetic compatibility.

  • IEC 60601-1 for basic safety and essential performance ●
  • IEC 60601-1-2 for electromagnetic compatibility
  • IEC 60601-1-11 for use in a home healthcare environment ●
  • IEC 60601-2-10 for performance of nerve and muscle stimulators ●

Software Verification: The device's software was verified in accordance with the requirements of FDA's guidance document: General Principles of Software Validation, January 11, 2002. The software testing demonstrated that the software meets its design requirements. DJO,LLC establish design inputs for the devices related to cybersecurity, and establish a cybersecurity vulnerability and management approach as part of the software validation and risk analysis that is required by 21 CFR 820.30(g).

Usability/Human Factors Testing: Usability/Human Factors testing was performed, which demonstrated that the established requirements for usability were met, and the device's design is appropriate for the intended users and use environment. The result of this study substantiates the acceptability of the use-related risks identified during the risk assessment activities.

Standards:

The Compex Sport Plus conforms to the following standards:

  • . AAMI/ANSI ES60601-1:2005/(R)2012 And A1:2012, C1:2009/(R)2012 And A2:2010/(R)2012 (Consolidated Text) Medical Electrical Equipment - Part 1: General Requirements for Basic Safety and Essential Performance (IEC 60601-1, Mod.). FDA Recognition No. 19-4.
  • . IEC 60601-1-2 Edition 3:2007-03, Medical Electrical Equipment - Part 1 -2: General Requirements for Basic Safety and Essential Performance - Collateral Standard: Electromagnetic Compatibility -Requirements and Tests. FDA Recognition No. 19-1.
  • . IEC 60601-1-6 Edition 3.1 2013-10. Medical Electrical Equipment - Part 1-6: General Requirements for Basic Safety and Essential Performance - Collateral Standard: Usability. FDA Recognition No. 5-89.
  • . IEC 60601-1-11 Edition 2.0 2015-01. Medical Electrical Equipment - Part 1-11: General Requirements For Basic Safety And Essential Performance - Collateral Standard: Requirements For Medical Electrical Equipment And Medical Electrical Systems Used In The Home Healthcare Environment . (General II (ES/EMC)). FDA Recognition No. 19-14.
  • . IEC 60601-2-10 Edition 2.0 2012-06. Medical Electrical Equipment - Part 2-10: Particular Requirements for the Basic Safety and Essential Performance of Nerve and Muscle Stimulators. FDA Recognition No. 17-11.
  • . IEC 62366 Edition 1.1 2014-01 , Consolidated Version Medical Devices - Application Of Usability Engineering To Medical Devices. (General I (OS/RM)). FDA Recognition No. 5-87

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  • ISO 14971 Second Edition 2007-03-01. Medical Devices Applications of Risk Management to Medical . Devices. FDA Recognition No. 5-40.
  • AAMI /ANSI /IEC 62304:2006, Medical Device Software - Software Life Cycle Processes. FDA Recognition No. 13-32.

This submission does not contain clinical data.

Conclusion:

Based on the performance testing and the technological characteristics, it can be concluded that the Compex Sport Elite is as safe and effective as, and substantially equivalent to, the predicate devices.

§ 890.5850 Powered muscle stimulator.

(a)
Identification. A powered muscle stimulator is an electrically powered device intended for medical purposes that repeatedly contracts muscles by passing electrical currents through electrodes contacting the affected body area.(b)
Classification. Class II (performance standards).