K Number
K172478
Device Name
TENS device-EmeTerm, CinvStop
Date Cleared
2018-04-19

(246 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The EmeTerm CinvStop is a wearable device for the treatment of nausea and vomiting caused by motion sickness and pregnancy.
Device Description
TENS device-EmeTerm generates the electric pulses with highly specific waveforms, frequency and amplitude to stimulate the median nerve. The accurate pulse signals provide relief through electrical stimulation of the nerves in the patient's wrist.
More Information

Not Found

No
The summary describes a TENS device that delivers electrical pulses with specific parameters. There is no mention of AI, ML, or any learning or adaptive capabilities. The device's function is based on direct electrical stimulation, not data processing or algorithmic decision-making.

Yes
The device is intended for the treatment of nausea and vomiting, which is a therapeutic purpose.

No
The device is described as a wearable device for the treatment of nausea and vomiting, and its mechanism involves stimulating the median nerve for relief. It is not designed to diagnose any condition.

No

The device description explicitly states it is a "TENS device" that "generates electric pulses" and provides "electrical stimulation," indicating it is a hardware device that delivers electrical therapy, not solely software.

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 treatment of nausea and vomiting caused by motion sickness and pregnancy. This is a therapeutic use, not a diagnostic one.
  • Device Description: The device is described as a TENS device that stimulates the median nerve through electrical pulses. This is a physical intervention, not a test performed on biological samples.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions

In summary, the EmeTerm CinvStop is a therapeutic device that uses electrical stimulation, not an in vitro diagnostic device that analyzes biological samples.

N/A

Intended Use / Indications for Use

The EmeTerm CinvStop is a wearable device for the treatment of nausea and vomiting caused by motion sickness and pregnancy.

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

GZJ

Device Description

TENS device-EmeTerm generates the electric pulses with highly specific waveforms, frequency and amplitude to stimulate the median nerve. The accurate pulse signals provide relief through electrical stimulation of the nerves in the patient's wrist.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

patient's wrist

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

N/A

Non-Clinical Tests:
Electromagnetic Safety Test (IEC 60601-1-2)
Electronical Safety Test (IEC 60601-1, IEC 60601-1-11)
Biocompatibility: In Vitro Cytotoxicity (ISO 10993-5)
Biocompatibility: Skin Irritation (ISO 10993-10)
Biocompatibility: Skin Sensitization (ISO 10993-10)

Clinical Tests: Not Found

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.

K020180

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 882.5890 Transcutaneous electrical nerve stimulator for pain relief.

(a)
Identification. A transcutaneous electrical nerve stimulator for pain relief is a device used to apply an electrical current to electrodes on a patient's skin to treat pain.(b)
Classification. Class II (performance standards).

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July 15, 2021

WAT Medical Technology (Ningbo) Co., Ltd Rodney Zhang Cto Room703-711, No.2 North Taoyuan Road Ningbo, Zhejiang 315600 China

Re: K172478

Trade/Device Name: TENS device-EmeTerm, CinvStop Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous electrical nerve stimulator for pain relief Regulatory Class: Class II Product Code: GZJ

Dear Rodney Zhang:

The Food and Drug Administration (FDA) is sending this letter to notify you of an administrative change related to your previous substantial equivalence (SE) determination letter for your device cleared on April 19, 2018. Specifically, FDA is updating this SE letter due to a typo in the clearance date, which was incorrectly dated as April 19, 2019.

Please note that the 510(k) submission was not re-reviewed. For questions regarding this letter please contact Amber Ballard, OHT5: Office of Neurological and Physical Medicine Devices, by email (Amber.Ballard@fda.hhs.gov) or phone (240-402-9983).

Sincerely,

Jitendra V. Virani -S

For Amber Ballard

Assistant Director DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

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Image /page/1/Picture/0 description: The image contains 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 acronym "FDA" followed by "U.S. FOOD & DRUG ADMINISTRATION" in a stacked format.

April 19, 2019

WAT Medical Technology (Ningbo) Co., Ltd Rodney Zhang CTO Room703-711, No.2 North Taoyuan Road Ningbo, 315600 Cn

Re: K172478

Trade/Device Name: TENS device-EmeTerm, CinvStop Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous Electrical Nerve Stimulator For Pain Relief Regulatory Class: Class II Product Code: GZJ Dated: March 15, 2018 Received: March 20, 2018

Dear Rodney Zhang:

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 manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820);

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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 medical devices and radiation-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,

William J. Heetderks -S 2018.04.19 13:39:37 -04'00'

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) K172478

Device Name EmeTerm CinvStop

Indications for Use (Describe)

The EmeTerm CinvStop is a wearable device for the treatment of nausea and vomiting caused by motion sickness and pregnancy.

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 OF SAFETY AND EFFECTIVENESS

(As Required by 21 CFR 807.92)

1. Date Prepared [21 CFR 807.92(a)(1)]

04/11/2018

2. Submitter's Information [21 CFR 807.92(a)(1)]

Company Name:WAT Medical Technology Inc.
Company Address:Room703-711, No.2 North Taoyuan Road, 315600
Ningbo, Zhejiang Province, P.R.C
Contact Person:Rodney Zhang
Phone:86-574-6506-0811
Email:13500799711@139.com

3. Trade Name, Common Name, Classification [21 CFR 807.92(a)(2)]

Trade Name:TENS device-EmeTerm
Common Name:TENS device-EmeTerm
Model No.YF-ZTY-E1
Product Code:GZJ
Regulation Number:21 CFR 882.5890
Device Class:II

4. Identification of Predicate Devices(s) [21 CFR 807.92(a)(3)[

The identification of predicates within this submission is as follow:

Predicate I
Manufacturer:Woodside Biomedical, Inc.
Trade Name:ReliefBand Device
Product Code:GZJ
Classification Name:Neurology
Regulation Number:21 CFR 882.5890
Classification:Class II
FDA 510 (k) #:K020180

SECTION 1 - 2 of 6

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5. Description of the Device [21 CFR 807.92(a)(4)]

TENS device-EmeTerm generates the electric pulses with highly specific waveforms, frequency and amplitude to stimulate the median nerve. The accurate pulse signals provide relief through electrical stimulation of the nerves in the patient's wrist.

There are several names formerly used by proposed product TENS device-EmeTerm. Previous names have been shown within various test reports include: EmeTerm-mo, EmeTerm-mo device for preventing and treating motion sickness, ZHITUYI (hand) and ZHITUYI (shell). The names listed above are all representing the test results of TENS device-EmeTerm.

6. Previous Device Names and Company:

Previous Device Name:

There are several names formerly used by proposed product TENS device-EmeTerm. Previous names have been shown within various test reports include EmeTerm-mo, EmeTerm-mo device for preventing and treating motion sickness, ZHITUYI (hand) and ZHITUYI (shell). The names listed above are all representing the test results of TENS device-EmeTerm.

Previous Company:

The company appears in various test reports is WAT Medical Technology (Ningbo) Co., Ltd, which is the same company as the current WAT Medical Technology Inc.

7. Indication for Use [21 CFR 807.92(a)(5)]

TENS device-EmeTerm is a wearable device for the treatment of nausea and vomiting caused by motion sickness and pregnancy.

8. Non-Clinical Tests and Clinical Tests

N/A

Non-Clinical TestsElectromagnetic Safety Test (IEC 60601-1-2)
Electronical Safety Test (IEC 60601-1, IEC 60601-1-11)
Biocompatibility: In Vitro Cytotoxicity (ISO 10993-5)
Biocompatibility: Skin Irritation (ISO 10993-10)
Biocompatibility: Skin Sensitization (ISO 10993-10)

Clinical Tests

SECTION 1 - 3 of 6

6

W. WAT Med

9. Technological Characteristics [21 CFR 807.92(a) and Substantial Equivalence Comparison [21 CFR 807.92(b)(1) and 807.92(b)(2)]

Table 1Proposed DevicePredicate Device
Product NameEmeTerm DeviceReliefBand Device
Product CodeGZJGZJ
Regulation No.21 CFR 882.589121 CFR 882.5890
ClassificationClass IIClass II
Indication for UseTENS device-EmeTerm is a wearable
device for the treatment of nausea and
vomiting caused by motion sickness
and pregnancy.The ReliefBand Devices are
indicated for over the counter use
in the relief of nausea and vomiting
(NV) due to motion sickness, and
for the relief of mild to moderate
nausea and vomiting associated
with pregnancy.
510 (k) NumberN/AK020180
Table 2Proposed DevicePredicate Device
Device Feature
Device NameEmeTerm DeviceReliefBand Device
Power SourceOne lithium batteryTwo 3V lithium coin cells
Follow CurrentYesYes
Voltage Overload
DetectionYesYes
Adjustable Intensity55
Channel11
Operation
TipsStartYesYes
Low
BatteryYesYes
WorkYesYes
User ControlON/OFF button on front
of deviceON/OFF button on front
of device
Patient override
control methodOn/Off and gear adjust button on front
of deviceOn/Off and gear adjust button on
front of device
Indicator displaysUnit functioning
Electrical connectionUnit functioning
Electrical connection
Timer SettingYesYes
Weight29.5g34g
Dimensions4.483.251.4cm3.815.081.14cm
WaveformAC Sharp WaveAC Sharp Wave
Phase Duration (usec)300us(±0.5%)300us(±0.5%)
Phase Interval10us(±0.5%)10us(±0.5%)
Pulse Period500us(±0.5%)505us(±0.5%)
Frequency (Hz)33Hz(±0.5%)33Hz(±0.5%)
Net Charge (µC) per
pulse00
Maximum output
voltage (V):
@1000 ohms38.2V(±0.5%)39.8V(±0.5%)
Maximum output
current (mA):
@1000 ohms6mA(±0.5%)6mA(±0.5%)
Maximum phase
charge (µC) @1000Ω1.781.8
Maximum Current
Density, (mA/cm²,
r.m.s.) @1000Ω4.304.32
Maximum Average
Power Density,
(W/cm²) @1000Ω0.000020.00002
Maximum Average
Current (average
absolute value, mA)
@1000Ω0.50.5
Maximum Charge
Density (uC/ cm²)
@1000Ω1.281.3
Stimulating Surface
Areas
(cm²)2.7092.72

SECTION 1 - 4 of 6

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SECTION 1 - 5 of 6

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10. Conclusion [21 CFR 807.92(b)(3)]

TENS device-EmeTerm is substantially equivalent to predicate device because both devices use identical technology and same intended use, also testing standards are identical with the predicates. The differences between both devices are insignificant in terms of safety and effectiveness.