K Number
K172302
Device Name
InMode PLUS System
Manufacturer
Date Cleared
2017-12-08

(130 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The InMode PLUS System with the PLUS/PLUS90/PLUS-PLUS Hand pieces is indicated for the temporary relief of minor muscle aches and pain, temporary relief of muscle spasm, and temporary improvement of local blood circulation
Device Description
The InMode PLUS System delivers RF energy to gradually heat the skin and subcutaneous tissue. The RF power levels used by the device can be adjusted from 10 to 50 Watts and the maximum skin temperature cutoff can be adjusted from 35℃ to a maximum of 42°C. The hand pieces are operated while in continuous movement over the treatment area. This ensures uniform and safe heating of the entire treatment area. Each InMode PLUS hand piece is comprised of the hand piece handle, a cable 250 cm long, and a connector, which connects to the rear connector of the InMode PLUS System. Three InMode PLUS hand pieces are available: - . InMode PLUS hand piece - InMode PLUS90 hand piece - InMode PLUS-PLUS hand piece (
More Information

Not Found

No
The summary describes a device that delivers RF energy with adjustable power and temperature cutoff. There is no mention of AI, ML, or any algorithms that would suggest learning or intelligent decision-making based on data. The operation is described as continuous movement over the treatment area, which is a manual process.

Yes
The device is indicated for the temporary relief of minor muscle aches and pain, muscle spasm, and improvement of local blood circulation, which are therapeutic claims.

No

The device is indicated for therapeutic purposes (relief of minor muscle aches and pain, muscle spasm, improvement of local blood circulation) by delivering RF energy to heat tissue, not for diagnosing conditions.

No

The device description explicitly details hardware components including hand pieces, cables, and a system that delivers RF energy. The performance studies also involve ex-vivo tissue studies and bench tests evaluating thermal effects, which are characteristic of hardware-based devices.

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

Here's why:

  • Intended Use: The intended use is for the temporary relief of minor muscle aches and pain, temporary relief of muscle spasm, and temporary improvement of local blood circulation. This is a therapeutic use, not a diagnostic one.
  • Device Description: The device delivers RF energy to heat tissue. This is a physical treatment method, not a method for examining specimens from the human body to provide information for diagnosis, monitoring, or treatment.
  • No mention of biological samples: There is no indication that this device interacts with or analyzes biological samples (like blood, urine, tissue, etc.), which is a core characteristic of IVDs.

IVDs are devices used to perform tests on specimens taken from the human body to provide information about a person's health. This device's function and intended use clearly fall outside of that definition.

N/A

Intended Use / Indications for Use

The InMode PLUS System with the PLUS/PLUS90/PLUS-PLUS Hand pieces is indicated for the temporary relief of rile mirrode i DOO Dystem min the : Doclief of muscle spasm. and temporary improvement of local blood circulation

Product codes

PBX, ISA

Device Description

The InMode PLUS System delivers RF energy to gradually heat the skin and subcutaneous tissue. The RF power levels used by the device can be adjusted from 10 to 50 Watts and the maximum skin temperature cutoff can be adjusted from 35℃ to a maximum of 42°C. The hand pieces are operated while in continuous movement over the treatment area. This ensures uniform and safe heating of the entire treatment area.

Each InMode PLUS hand piece is comprised of the hand piece handle, a cable 250 cm long, and a connector, which connects to the rear connector of the InMode PLUS System.

Three InMode PLUS hand pieces are available:

  • . InMode PLUS hand piece
  • InMode PLUS90 hand piece
  • InMode PLUS-PLUS hand piece (

Following are the InMode PLUS System specifications: Maximum Temperature (skin surface): 42°C ± 2°C

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

The following performance tests were conducted utilizing the InMode PLUS System with the PLUS-PLUS hand piece:

    1. Ex-vivo tissue study to evaluate the safety and temperature tissue penetration/depth profile
    1. Comparative test to evaluate the thermal effect of the InMode PLUS System with the PLUS-PLUS hand piece in comparison to the predicate device

The results of the performance tests demonstrated that the InMode PLUS System with the InMode PLUS-PLUS hand piece operates in compliance with the system requirements, emitting RF energy of up to 50W, while elevating the tissue temperature up to 42ºC. Moreover, the side by side bench test results showed that the InMode PLUS System with the InMode PLUS-PLUS hand piece is as safe and effective as the predicate device for the same intended use.

In all. the results of the performance tests demonstrated substantial equivalence of the InMode PLUS System with the InMode PLUS-PLUS hand piece compared to the predicate device, the InMode PLUS System with the InMode PLUS/PLUS90 hand pieces.

Key Metrics

Not Found

Predicate Device(s)

K153568

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4400 Electrosurgical cutting and coagulation device and accessories.

(a)
Identification. An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.(b)
Classification. Class II.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION".

December 8, 2017

InMode MD Ltd. % Amit Goren Regulatory Manager A. Stein - Regulatory Affairs Consulting Ltd. 20 Hata'as Str. Suite 102 Kfar Saba, Israel 442520

Re: K172302

Trade/Device Name: InMode PLUS System Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories Regulatory Class: Class II Product Code: PBX, ISA Dated: November 7, 2017 Received: November 13, 2017

Dear Amit Goren:

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 of medical device-related adverse events) (21 CFR 803); good

1

manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

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, Jennifer R. Stevenson -S For Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director

Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

510(k) Number (if known)

K172302

Device Name InMode PLUS System

Indications for Use (Describe)

The InMode PLUS System with the PLUS/PLUS90/PLUS-PLUS Hand pieces is indicated for the temporary relief of rile mirrode i DOO Dystem min the : Doclief of muscle spasm. and temporary improvement of local blood circulation

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the
time to review instructions, search existing data sources, gather and maintain the data needed and complete
and review the collection of information. Send comments regarding this burden estimate or any other aspect
of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services

Food and Drug Administration

Office of Chief Information Officer

Paperwork Reduction Act (PRA) Staff

PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB number."

FORM FDA 3881 (7/17)

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510(K) SUMMARY INMODE PLUS SYSTEM

510(k) Number K172302

Applicant Name:

Company Name:InMode MD Ltd
Address:Tabor Building, Shaar Yokneam
POB 44, Yokneam 20692
Israel
Tel:+972-4-9097470
Fax:+972-4-9097471
E-mail:amit@asteinrac.com

Contact Person:

Official Correspondent:Amit Goren
Company Name:A. Stein - Regulatory Affairs Consulting Ltd.
Address:20 Hata'as Str., Suite 102
Kfar Saba 4442520 Israel
Tel: +972-9-7670002
Fax: +972-9-7668534
E-mail: amit@asteinrac.com
Date Prepared:November 29, 2017
Trade Name:InMode PLUS System
Classification Name:CFR Classification sections; 878.4400 and 890.5660 (Product
codes; PBX and ISA)
Classification:Class II Medical Device

Predicate Device:

InMode PLUS System is substantially equivalent to the previously cleared, InMode PLUS System, also manufactured by InMode MD Ltd.

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DeviceManufacturer510(k) No.
InMode PLUS SystemInMode MD Ltd.K153568

Device Description:

The InMode PLUS System delivers RF energy to gradually heat the skin and subcutaneous tissue. The RF power levels used by the device can be adjusted from 10 to 50 Watts and the maximum skin temperature cutoff can be adjusted from 35℃ to a maximum of 42°C. The hand pieces are operated while in continuous movement over the treatment area. This ensures uniform and safe heating of the entire treatment area.

Each InMode PLUS hand piece is comprised of the hand piece handle, a cable 250 cm long, and a connector, which connects to the rear connector of the InMode PLUS System.

Three InMode PLUS hand pieces are available:

  • . InMode PLUS hand piece
  • InMode PLUS90 hand piece
  • InMode PLUS-PLUS hand piece (

Following are the InMode PLUS System specifications: Maximum Temperature (skin surface): 42°C ± 2°C

Device Specifications:


Main Line Frequency (nominal)50 - 60 Hz
Input Voltage (nominal)100 - 240 VAC
Electrosurgical Unit dimensions (inch)14.2" W x 14.2" D x 40" H
Platform weight (lb.)66
RF Max Output Power (Watt)50
RF Output Frequency (MHz)$1.0\pm 2%$
Cut off temperature (C 0)35-42

Intended Use/Indication for Use:

The InMode PLUS System with the PLUS/PLUS-PLUS Hand pieces is indicated for the temporary relief of minor muscle aches and pain, temporary relief of muscle spasm, and temporary improvement of local blood circulation

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Performance Standards:

InMode PLUS System complies with the following FDA recognized consensus standards:

  • . AAMI/ANSI 60601-1 (2012), Medical Electrical Equipment - Part 1: General Requirements for Basic Safety and Essential Performance (IEC 60601-1:2005, Mod).
  • . IEC 60601-1-2 (Edition 3.0, 2007), Medical Electrical Equipment -Part 1-2: General Requirements for Basic Safety and Essential Performance - Collateral Standard: Electromagnetic Compatibility -Requirements and Tests.
  • IEC 60601-2-2 Edition 5.0 2009-02, Medical Electrical Equipment -. Part 2-2: Particular Requirements for the Basic Safety and Essential Performance of High Frequency Surgical Equipment and High Frequency Surgical Accessories.

Non-Clinical (Bench) Performance Data:

The following performance tests were conducted utilizing the InMode PLUS System with the PLUS-PLUS hand piece:

    1. Ex-vivo tissue study to evaluate the safety and temperature tissue penetration/depth profile
    1. Comparative test to evaluate the thermal effect of the InMode PLUS System with the PLUS-PLUS hand piece in comparison to the predicate device

The results of the performance tests demonstrated that the InMode PLUS System with the InMode PLUS-PLUS hand piece operates in compliance with the system requirements, emitting RF energy of up to 50W, while elevating the tissue temperature up to 42ºC. Moreover, the side by side bench test results showed that the InMode PLUS System with the InMode PLUS-PLUS hand piece is as safe and effective as the predicate device for the same intended use.

In all. the results of the performance tests demonstrated substantial equivalence of the InMode PLUS System with the InMode PLUS-PLUS hand piece compared to the predicate device, the InMode PLUS System with the InMode PLUS/PLUS90 hand pieces.

Animal Performance Data / Histology Data:

Not Applicable

Clinical Performance Data:

Not Applicable

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Sterilization and Biocompatibility:

The InMode PLUS System is a non-sterile, reusable device, intended for multiple patients. The device had successfully passed the cleaning validation test. All of the hand piece materials are biocompatible based on the established biocompatibility of the materials and per ISO 10993-1.

Software & Cybersecurity:

The InMode PLUS System software is based on the software modules of the predicate device, the InMode PLUS System (K153568). The device software was adjusted to support the integration and operation of the PLUS-PLUS hand piece. The software is designed in accordance with ISO 62304 standard - Medical device software- Software life cycle processes.

The InMode PLUS System is a closed, standalone system and as such it is not effected by cybersecurity related issues.

Substantial Equivalence:

The indications for use and technological characteristics of the InMode PLUS System with the PLUS-PLUS hand piece are substantially equivalent to the indications for use and technological characteristics of the InMode PLUS System with the PLUS/PLUS90 hand pieces.

The design and components of the modified InMode PLUS System, including the console and its components (including the power supply, RF generator, controller and display panel) and the hand piece applicators (including the cable and connector to console) are similar to the design and components found in the predicate InMode PLUS System. The performance specifications (including frequency and RF output power) of the modified InMode PLUS System are substantially equivalent to those in the predicate device. The safety features and compliance with safety standards in the InMode PLUS System are similar to the safety features and compliance with safety standards found in the predicate device. Patient contact materials are identical. The minor differences in the LCD screen properties and in the dimensions of the PLUS-PLUS hand piece treatment area do not raise new safety or effectiveness concerns and are demonstrated to be substantially equivalent through relevant performance tests. Furthermore, the modified InMode PLUS System underwent additional performance tests, including software validation testing and electrical and mechanical safety testing according to IEC 60601-1 and electromagnetic compatibility testing according to IEC 60601-1-2. The performance tests demonstrated that the minor differences in the device specifications meet the system requirements and do not raise new safety or effectiveness concerns.

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Conclusions:

Based on the substantial equivalence demonstration and the device performance tests, it can be concluded that the modified InMode PLUS System is substantially equivalent to the predicate InMode PLUS System, cleared under 510(k) K153568.