K Number
K172834
Device Name
Dual output digital therapy massager
Date Cleared
2018-09-06

(352 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
PMS (Mode 1) It is intended to stimulate healthy muscles in order to improve and facilitate muscle performance. TENS (Mode 2) To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back of the neck, arm, leg, and foot due to strain from exercise or normal household work activities by applying current to stimulate nerve.
Device Description
Low-frequency Multi-function Physiotherapy Instrument is a household multifunctional device. it can stimulate healthy muscles in order to improve and facilitate muscle performance, and to relief the pain associated with sore and aching muscles in the waist, upper and lower back, back of the neck, upper extremities (shoulder, arm and hand), lower extremities (hip, knee, ankle, leg and feet) due to strain from exercise or normal household work activities by applying current to stimulate nerve. Low-frequency Multi-function Physiotherapy Instrument has 2 operation modes and two channels, which can give certain electrical pulse through 2 pairs of electrode pads on the skin to help users to enjoy body massage and sole massage. The electronic stimulatory module has the operating elements of ON/OFF Switch, Display screen, Mode Selection key, Intensity Modification keys and time selection keys. The LCD display screen can show selected mode, output intensity of body and/or sole, and time remaining of an application mode. The device is equipped with accessories of electrode wire, adapter, remote controller. The electrode wire is used to connect the pads to the main unit; the adapter wire is used to connect the adapter to the device.
More Information

Not Found

No
The device description and performance studies focus on electrical stimulation parameters and safety standards, with no mention of AI or ML algorithms for data analysis, decision-making, or personalized therapy.

Yes.
The device is intended to stimulate healthy muscles to improve performance and provide temporary pain relief, which are therapeutic functions.

No

The device is intended to stimulate muscles to improve performance and relieve pain, and it applies current to stimulate nerves. It does not describe any function related to diagnosing medical conditions.

No

The device description explicitly mentions hardware components such as electrode pads, electrode wire, adapter, remote controller, and a main unit with a display screen and physical keys. The performance studies also include electrical safety, electromagnetic compatibility, and biocompatibility testing, which are relevant to hardware.

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

Here's why:

  • Intended Use/Indications for Use: The intended use clearly describes stimulating muscles and relieving pain through electrical stimulation applied to the body. This is a therapeutic function, not a diagnostic one.
  • Device Description: The description details a device that delivers electrical pulses to the skin via electrode pads for muscle stimulation and pain relief. This aligns with a physical therapy or pain management device, not a device used to examine specimens from the human body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting diseases or conditions based on such analysis, or providing information for diagnosis.

The device falls under the category of a therapeutic medical device, specifically a powered muscle stimulator (PMS) and a transcutaneous electrical nerve stimulator (TENS). The predicate device listed (K133929) is also described as an "Electronic Stimulator," further supporting this classification.

N/A

Intended Use / Indications for Use

PMS (Mode 1) It is intended to stimulate healthy muscles in order to improve and facilitate muscle performance.

TENS (Mode 2) To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back of the neck, arm, leg, and foot due to strain from exercise or normal household work activities by applying current to stimulate nerve.

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

NUH, NGX

Device Description

Low-frequency Multi-function Physiotherapy Instrument is a household multifunctional device. it can stimulate healthy muscles in order to improve and facilitate muscle performance, and to relief the pain associated with sore and aching muscles in the waist, upper and lower back, back of the neck, upper extremities (shoulder, arm and hand), lower extremities (hip, knee, ankle, leg and feet) due to strain from exercise or normal household work activities by applying current to stimulate nerve.

Low-frequency Multi-function Physiotherapy Instrument has 2 operation modes and two channels, which can give certain electrical pulse through 2 pairs of electrode pads on the skin to help users to enjoy body massage and sole massage.

The electronic stimulatory module has the operating elements of ON/OFF Switch, Display screen, Mode Selection key, Intensity Modification keys and time selection keys.

The LCD display screen can show selected mode, output intensity of body and/or sole, and time remaining of an application mode.

The device is equipped with accessories of electrode wire, adapter, remote controller. The electrode wire is used to connect the pads to the main unit; the adapter wire is used to connect the adapter to the device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

shoulder, waist, back, back of the neck, arm, leg, and foot

Indicated Patient Age Range

Not Found

Intended User / Care Setting

household

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)

Low-frequency Multi-function physiotherapy instrument, Model: AST-603, AST-2012B has been evaluated the safety and performance by lab bench testing as following:

  • Electrical safety test according to IEC 60601-1-11 and IEC 60601-2-10 standards
  • Electromagnetic compatibility test according to IEC 60601-1-2 standard
  • Biocompatibility test according to ISO 10993-5 and ISO 10993-10
  • Usability test according to IEC 62366 standard
  • Software verification and validation test according to the requirements of the FDA "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices"
  • The waveform test has also been conducted to verify the output specifications of the device according to "Guidance for Transcutaneous Electrical Nerve Stimulator for Pain Relief Intended for Over the Counter Use and Guidance for Powered Muscle Stimulator for Muscle Conditioning".

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.

K133929

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).

0

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

September 6, 2018

Shenzhen OSTO Technology Co., Ltd. % Cecilia Ceng Manager Guangzhou GLOMED Biological Technology Co., Ltd. Suite 306, Kecheng Mansion, No.121 Science Road Guangzhou Science Park Guangzhou, Guangdong 510006 Cn

Re: K172834

Trade/Device Name: Low Frequency Multi Function Physiotherapy Instrument, Models AST-603, AST-2012A, AST-2010B Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous Electrical Nerve Stimulator For Pain Relief Regulatory Class: Class II Product Code: NUH, NGX Dated: July 25, 2018 Received: August 6, 2018

Dear Cecilia Ceng:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.

1

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm.

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

Sincerely,

Pamela D. Scott -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

2

Indications for Use

510(k) Number (if known) K172834

Device Name

Low Frequency Multi-Function Physiotherapy Instrument

Indications for Use (Describe) PMS (Mode 1) It is intended to stimulate healthy muscles in order to improve and facilitate muscle performance.

TENS (Mode 2)

To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back of the neck, arm, leg, and foot due to strain from exercise or normal household work activities by applying current to stimulate nerve.

Prescription Use (Part 21 CFR 801 Subpart D)

|X | 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."

3

510(k) Summary

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

1. Submitter's Information

510(k) Owner's Name: Shenzhen OSTO Technology Co., Ltd. Establishment Registration Number: Applying Address: No.43 Longfeng Road, Xinsheng Community, Longgang Street Longgang District, Shenzhen City Guangdong Province, CHINA Tel: +86-755-29769546 Fax: +86-755-29769540 Contact Person: Li Yang (General Manager) Email: annaosto@163.com

Application Correspondent:

Contact Person: Ms. Cassie Lee Guangzhou GLOMED Biological Technology Co., Ltd. Address: Suite 306, Kecheng Mansion, No.121 Science Road, Guangzhou Science Park, Guangzhou 510663, China Tel: +86-20-61099984 Email: regulatory@glomed-info.com

2. Subject Device Information

Trade Name: Low-frequency Multi-function physiotherapy instrument Common Name: Electronic Stimulator Classification name:

    1. Stimulator, Nerve, Transcutaneous, Over-The-Counter (NUH)
  1. Stimulator, Muscle, Powered, For Muscle Conditioning (NGX) Review Panel: Neurology Product Code: NUH, NGX Regulation Class: II Regulation Number: 21 CFR 882.5890, 890.5850

3. Predicate Device Information

Sponser: Shenzhen OSTO Technology Company Limited Trade Name: Health Expert Electronic Stimulator Common Name: Electronic Stimulator Classification name: Stimulator, Nerve, Transcutaneous, Muscle, Powered, For Muscle Conditioning, Over-The-Counter 510(k)number: K133929 Review Panel: Neurology, Physical Medicine Product Code: NUH, NGX Regulation Number: 882.5890, 890.5850 Requlation Class: II

4. Device Description

4

Low-frequency Multi-function Physiotherapy Instrument is a household multifunctional device. it can stimulate healthy muscles in order to improve and facilitate muscle performance, and to relief the pain associated with sore and aching muscles in the waist, upper and lower back, back of the neck, upper extremities (shoulder, arm and hand), lower extremities (hip, knee, ankle, leg and feet) due to strain from exercise or normal household work activities by applying current to stimulate nerve.

Low-frequency Multi-function Physiotherapy Instrument has 2 operation modes and two channels, which can give certain electrical pulse through 2 pairs of electrode pads on the skin to help users to enjoy body massage and sole massage.

The electronic stimulatory module has the operating elements of ON/OFF Switch, Display screen, Mode Selection key, Intensity Modification keys and time selection keys.

The LCD display screen can show selected mode, output intensity of body and/or sole, and time remaining of an application mode.

The device is equipped with accessories of electrode wire, adapter, remote controller. The electrode wire is used to connect the pads to the main unit; the adapter wire is used to connect the adapter to the device.

5. Intended Use / Indications for Use

PMS (Mode 1)

It is intended to stimulate healthy muscles in order to improve and facilitate muscle performance. TENS (Mode 2)

To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, back of the neck, arm, leg, and foot due to strain from exercise or normal household work activities by applying current to stimulate nerve.

6. Test Summary

Low-frequency Multi-function physiotherapy instrument, Model: AST-603, AST-2012B has been evaluated the safety and performance by lab bench testing as following:

  • Electrical safety test according to IEC 60601-1-11 and IEC 60601-2-10 standards �
  • � Electromagnetic compatibility test according to IEC 60601-1-2 standard
  • � Biocompatibility test according to ISO 10993-5 and ISO 10993-10
  • � Usability test according to IEC 62366 standard
  • � Software verification and validation test according to the requirements of the FDA "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices"
  • � The waveform test has also been conducted to verify the output specifications of the device according to "Guidance for Transcutaneous Electrical Nerve Stimulator for Pain Relief Intended for Over the Counter Use and Guidance for Powered Muscle Stimulator for Muscle Conditioning".

7. Comparison to predicate device and conclusion

The technological characteristics, features, specifications, materials, mode of operation, and intended use of Electronic Muscle Stimulator is substantially equivalent to the predicate devices quoted above. The differences between the subject device and predicate devices do not raise of safety or effectiveness.

| Elements of

ComparisonSubject DevicePredicate DeviceVerdict
CompanyShenzhen OSTO
Technology Co., LtdShenzhen OSTO
Technology Co., Ltd--
Elements of
ComparisonSubject DevicePredicate DeviceVerdic
t
Trade NameLow-frequency Multi-
functional physiotherapy
instrumentHealth Expert Electronic
Stimulator--
Classification NameStimulator, Nerve,
Transcutaneous, Over-
The-CounterStimulator, Nerve,
Transcutaneous, Over-
The-Counter--
510(k) NumberK172834K133929--
Product CodeNUH, NGXNUH, NGXSE
Intended Use /
Indications for UsePMS (Mode 1)
It is intended to
stimulate healthy
muscles in order to
improve and facilitate
muscle performance.
TENS (Mode 2)
To be used for
temporary relief of pain
associated with sore
and aching muscles in
the shoulder, waist,
back, back of the neck,
arm, leg, and foot due to
strain from exercise or
normal household work
activities
by applying current to
stimulate nerve.PMS (Mode 1~8)
It is intended to
stimulate healthy
muscles in order to
improve and facilitate
muscle performance.
TENS (Mode 9~25)
To be used for
temporary relief of pain
associated with sore
and aching muscles in
the shoulder, waist,
back, back of the neck,
arm, leg, and foot due to
strain from exercise or
normal household work
activities
by applying current to
stimulate nerve.SE
Power SourceAdaptor Input: 100-
240Vac, 50-60Hz, 0.1A
Output: 5Vdc, 1A
Unit Input: 5Vdc, 1AAdaptor Input: 100-
240Vac, 50-60Hz, 0.1A
Output: 5Vdc, 1A
Unit Input: 5Vdc, 1ASE
-Method of Line
Current IsolationType BF Applied PartType BF Applied PartSE
Patient
Leakage
CurrentNC:
AC: 54.5µA, DC: 0.5µA
SFC:
AC:120.0µA, DC: 0.6µANC:
AC: 54.5µA, DC: 0.5µA
SFC:
AC:120.0µA, DC: 0.6µASE
Main Unit Weight115 g2 kgSE
Note 1
Main Unit Dimension128.6 x 69.8 x 25 mm428 x 428.8x 185mmSE
Note 1
Number of
Output Channels:22SE
Number of Output
Modes225SE
Note 2
Output Intensity
Level9999SE
Elements of
ComparisonSubject DevicePredicate DeviceVerdic
t
Synchronous or
Alternating?SynchronousSynchronousSE
Regulated Current
or Regulated
Voltage?YesYesSE
Software/Firmwar
e/Microprocessor
Control?YesYesSE
Automatic Shut
OffYesYesSE
Indica
tor
Displa
yOn/Off
StatusYesYesSE
Low
BatteryNoNo
Voltage/
Current
LevelYesYes
Timer Range5-60 min25 minSE
Note2
WaveformPulsed, symmetric,
biphasicPulsed, symmetric,
biphasicSE
ShapeRectangular, with
interphase intervalRectangular, with
interphase intervalSE
Maximum Output
Voltage44V±10% @ 500Ω44V±10% @ 500ΩSE
80V±10% @ 2KΩ80V±10% @ 2KΩ
112V±10% @ 10KΩ112V±10% @ 10KΩ
Maximum Output
Current88mA±10% @ 500Ω88mA±10% @ 500ΩSE
40mA±10% @ 2KΩ40mA±10% @ 2KΩ
11.2mA±10% @ 10KΩ11.2mA±10% @ 10KΩ
Pulse Duration120μs120μsSE
Pulse frequency77.3Hz77.3HzSE
Charge density0.21µC/ cm² @ 500Ω0.21µC/ cm² @ 500ΩSE
Power density16.37μW/cm² @ 500Ω16.37μW/cm² @ 500ΩSE
Active surface area50.04cm²50.04cm²SE
Additional Features
Environment for
operationTemperature: 5 ~ 45
Humidity: 15% - 90%
Atmospheric pressureTemperature: 5 ~ 45° C
Humidity: 20 ~ 65% RHSE
Elements of
ComparisonSubject DevicePredicate DeviceVerdic
t
range of 700 hPa to 1 060
hPa
Environment for
storageTemperature: -25 - +70°C
Humidity: up to 90%
Atmospheric pressure
range of 700 hPa to 1 060
hPaTemperature: 0 ~ 45° C,
Humidity: 10 ~ 90% RH
Electrode Pad: 10~20°
CSE
For pads:
Temperature:10~20°C
Humidity: up to 90%
Atmospheric pressure
range of 700 hPa to 1060
hPaFor pads:
Temperature:10~20°C
Humidity: up to 90%
Atmospheric pressure
range of 700 hPa to 1
060 hPaSE

5

6

7

Comparison in Detail(s):

Note 1 (Weight, Dimension):

These data would be different for different devices because the internal circuit design and components choosing are different, which make them have similar difference on weight, dimensions. But weight and dimensions won't affect the safety and effectiveness of the device so it can deemed as the substantially equivalence.

Note 2 (Number of Output Modes, Time Range):

The design of the time range is basing on the intended use. And according to the output specification comparing with the predicated devices, we set the default treatment time is 15min and the user could adjust the levels which could meet the requirements in the energy aspect. Thus, the subject device is actually the same as predicated ones.

Final Conclusion:

The subject device "Low-frequency Multi-function physiotherapy instrument" is Substantial Equivalent to the predicate devices.

8. Date of the summary prepared: July 25, 2018