AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Rapid Reboot Compression Therapy System is indicated for the temporary relief of minor muscle aches and pains and for temporary increase in circulation to the treated areas in people who are in good health. The Rapid Reboot Compression Therapy System simulates kneading and stroking of tissues by using an inflatable garment.

Device Description

Rapid Reboot Compression Therapy System ("Rapid Reboot") consists of an air pump, air pressure sensor, and sleeves working together as one unit. The air pump is connected to the dedicated sleeves via a series of hoses; each sleeve has four (4) compression chambers. The compression massage direction is from limb end to body center. By inflating the air chambers sequentially and then deflating as one cycle, the pressure can be adjusted to avoid any discomfort to the patient. The sleeve works under the action of sensor and microprocessor. Software controls the timing and pressure reflected by the sensor, cycling airflow into and out of the sleeves to compress body

AI/ML Overview

The provided text describes the "Rapid Reboot Compression Therapy System" and its substantial equivalence determination. However, it does not include detailed acceptance criteria or a specific study proving the device meets those criteria in the way typically found for AI/ML-driven medical devices (e.g., performance metrics like sensitivity, specificity, or AUC, alongside sample sizes for test and training sets, expert qualifications for ground truth, etc.). This document solely focuses on demonstrating substantial equivalence to predicate devices based on indications for use, technological characteristics, and compliance with general medical device standards.

Therefore, most of the requested information regarding acceptance criteria and performance study details for an AI/ML device is not present in the provided text.

Here's an attempt to answer based only on the available information:

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

The document does not specify quantitative acceptance criteria in terms of performance metrics (e.g., sensitivity, specificity, accuracy) or device performance against such metrics. Instead, it demonstrates compliance with general medical device standards and substantial equivalence to predicate devices.

Acceptance Criteria (from text)Reported Device Performance (from text)
Electrical Safety IEC 60601-1:2014Met the requirements of the standard
EMC IEC 60601-1-2:2014Met the requirements of the standard
Biocompatibility EN ISO 10993-5:2009Met the requirements of the standard
Biocompatibility EN ISO 10993-10:2010Met the requirements of the standard
Substantial Equivalence to Predicates for Indications for Use, and similar technological and performance characteristics"Substantially equivalent to the legally marketed Relaxor Perfect Touch Air Massaging System (primary predicate) and Normatec Pulse and Pulse Pro (secondary predicate) for Indication for Use, and it is substantially equivalent in technological and performance characteristics to Pt 1002 Pressure Therapy System (reference device).""It is at least as safe and effective as the predicate devices and technologically comparable to the reference device, and doesn't raise any new safety and/or effectiveness concerns."

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

Not applicable. The document describes performance testing based on compliance with general safety, EMC, and biocompatibility standards for the device itself, not on analyzing patient data or clinical images. It's a physical device, not an AI/ML diagnostic or prognostic system.

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)

Not applicable. This is not a study requiring expert-established ground truth on patient data.

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

Not applicable.

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, an MRMC study was not done. The device is a compression therapy system, not an AI-assisted diagnostic tool.

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

Not applicable. The device is a physical therapy system, not an algorithm.

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

Not applicable. Ground truth as typically understood for AI/ML performance on clinical data is not relevant here. The "ground truth" equivalent would be the established requirements of the referenced IEC and ISO standards that the device was tested against.

8. The sample size for the training set

Not applicable. The device is not an AI/ML model trained on data.

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

Not applicable.

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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 a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 14, 2018

Rapid Reboot Recovery Products, LLC % John Gillespy FDA Consulting, LLC 1100 Del Lago Cir #104 Palm Beach Gardens, Florida 33410

Re: K182668

Trade/Device Name: Rapid Reboot Compression Therapy System Regulation Number: 21 CFR 890.5650 Regulation Name: Powered Inflatable Tube Massager Regulatory Class: Class II Product Code: IRP Dated: September 17, 2018 Received: September 25, 2018

Dear John Gillespy:

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.

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

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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-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.

Vivek J. Pinto -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) K182668

Device Name

Rapid Reboot Compression Therapy System

Indications for Use (Describe)

The Rapid Reboot Compression Therapy System is indicated for the temporary relief of minor muscle aches and pains and for temporary increase in circulation to the treated areas in people who are in good health. The Rapid Reboot Compression Therapy System simulates kneading and stroking of tissues by using an inflatable garment.

Type of Use (Select one or both, as applicable)
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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

1.510(k) Submitter:Rapid Reboot Recovery Products, LLC1396 W 200 S Bldg 2A, Lindon, UT 84042Phone: 801-899-7511Email: david@rapidreboot.com
2.Company Contact:David Johnson, CEO
3.Date of Submission:September 17, 2018
4.510(k) Preparer:John F. Gillespy, MBAFDA 510k Consulting, LLCPalm Beach Gardens, FL 33410Phone: 386-243-4332Email: john@fda510kconsultants.com
5.Device Classification:Trade name:Common name:Device:Regulation:Class:Product Code:Rapid Reboot Compression Therapy SystemPowered Inflatable Tube MassagerMassager, Powered Inflatable Tube890.56502IRP
6.Predicate (Primary):Applicant:Device:510(k) Number:Salton, Inc (Washington, DC)Relaxor Perfect Touch Air Massaging SystemK030437
Predicate (Secondary):Applicant:Device:510(k) Number:NormaTec Industries, LP (Newton, PA)NormaTec Pulse; Norma Tec Pulse ProK160608
Reference:Applicant:Device:510(k) Number:Xiamen Senyang Co, Ltd (Xinglin Xiamen,China)Pt 1002 Pressure Therapy SystemK161907
    1. Indications For Use... The Rapid Reboot Compression Therapy System is indicated for the temporary relief of minor muscle aches and pains and for temporary increase in circulation to the treated areas in people who are in good health. The Rapid Reboot Compression Therapy System simulates kneading and stroking of tissues by using an inflatable garment.

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    1. Device Description... Rapid Reboot Compression Therapy System ("Rapid Reboot") consists of an air pump, air pressure sensor, and sleeves working together as one unit. The air pump is connected to the dedicated sleeves via a series of hoses; each sleeve has four (4) compression chambers. The compression massage direction is from limb end to body center. By inflating the air chambers sequentially and then deflating as one cycle, the pressure can be adjusted to avoid any discomfort to the patient. The sleeve works under the action of sensor and microprocessor. Software controls the timing and pressure reflected by the sensor, cycling airflow into and out of the sleeves to compress body
NameRapid Reboot Compression Therapy System
Pressure (mmHg)0~200 mmHg
ModeMode A and Mode B, and the initial is A
Interval50S
Time(min)Time 0-30, selection (10, 20, 30min)
Pressure TimePressure, 20-200mmHg, Mode A/B, 0-30Min

9. Technical Characteristics

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10. Comparison To Predicate

Table 5 – Comparison With Predicate

DeviceSubject DevicePrimary PredicateSecondary PredicateReference DeviceComparison
ManufacturerRapid Reboot RecoveryProducts, LLCSALTON, INCNORMATEC INDUSTRIES, LPXIAMEN SENYANG CO,LTDNA
510(k)NumberK182668K030437K160608K161907NA
Model NameRapid Reboot CompressionTherapy SystemRelaxor Perfect Touch AirMassaging SystemNormaTec Pulse andNormaTec Pulse ProPt 1002NA
ClassificationClass II Device, IRP (21CFR890.5650)Class II Device, IRP (21CFR890.5650)Class II Device, IRP (21CFR890.5650)Class II Device, IRP (21CFR890.5650)Same
Indications forUse (IFU)The Rapid RebootCompression TherapySystem is intended for thetemporary relief of minormuscle aches and pains andfor the temporary increasein circulation to the treatedareas in people who are ingood health. The RapidReboot CompressionTherapy System simulateskneading and stroking oftissues by using aninflatable garment.The Perfect Touch AirMassaging System is indicatedfor the temporary relief ofminor muscle aches and painsand for the temporaryincrease in circulation to thetreated areas in people whoare in good health. The PerfectTouch simulates kneading andstroking of tissues by using aninflatable garment.The NormaTec Pulse and PulsePro is an air pressure massagerintended to temporarily relieveminor muscle aches and/orpains, and to temporarilylincrease circulation to thetreated areas.Indicated for treatmentof medical conditionssuch as primarylymphedema, edemafollowing trauma andsport injuries, postimmobilizationedema, venousinsufficiencies,lymphedemaSame as Relaxorand NormaTec(predicates).
OTC or RxОТСОТСОТСRxSame aspredicates
Environmentof Use:Clinics, hospital, athletetraining, and homeenvironmentsHome environmentClinics, hospital, athletetraining, and homeenvironmentsClinics, hospital, athletetraining and homeenvironmentsEssentially thesame

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StandardsIEC 60601-1:2014; IEC60601-1-2:2014; EN ISO10993-5:2009 & EN ISO10993-10:2010Not availableES 60601-1; IEC 60601-1-2;IEC 60601-1-11IEC 60601-1:2014; IEC60601-1-2:2014; EN ISO10993-5:2009 & EN ISO10993-10:2010Meets consensusstds for ES, EMC,Biocompatibility
Mode ofCompressionSequential/PeristalticSequential/PeristalticSequential/Peristaltic andPulsingSequential/PeristalticSame except forNormaTecpulsing mode.
PowerSource110 V, 60Hz120V, 60Hz100- 240 VAC input110 V, 60HzSame
Therapy TimeUser determines therapytime. Choose from 10, 20,or 30 minute session time,with option to addadditional 10 minutes toany therapy time.Has 15 minute sessions.User determines therapytime, with range of 10minutes to a continuoussession.User determines therapytime. Choose from 10,20, or 30 minute sessiontime, with option to addadditional 10 minutes toany therapy time.Same exceptNormatec allowsunrestricted timeuse.
Max PressureMin Pressure0-200 mmHg80 to 250 mmHg30-110 mmHg0-200 mmHgSame as Xiamen,similar toRelaxor.
Number ofChambers4 Chambers12 chambers5 chambers4 ChambersSame exceptRelaxor has morechambers
CompressionApplicatorGarmentsSleeveMaterialNylon with a PolyurethanelaminateNylon with a PolyurethanelaminateNylon with apolyurethanelaminateNylon with aPolyurethane laminateSame
HousingMaterialsAndConstructionsMolded ABS enclosureMolded ABS enclosureMolded ABS enclosureMolded ABS enclosureSame
Patient contactNon-conductiveattachmentsNon-conductive attachmentsNon-conductiveattachmentsNon-conductiveattachmentsSame
PowerConsumption30W26W14W30WSame

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Cycle time1 min 20 secRange of 15 sec to 1 min 5 sec7 min 10 sec1 min 20 secSame exceptRelaxor hasvariable cycletime andNormatec isslightly slower"Leg" AttachmentLeg (consisting of foot, calf,knee, upper leg)Leg (consisting of foot and calf).Leg (consisting of foot, calf,knee, upper leg).Leg (consisting or foot,calf, knee, upper leg)Same
Size and photo10" x 6.5" x 5"Image: Rapid Reboot device9" x 6" x 6"Image: Relaxor device4" x 5" x 9"Image: Normatec device10" x 6.5" x 5"Image: Leg compression deviceAll are tabletopor handheldportableLeg AttachmentPhotosImage: Leg Attachment Photos 1Image: Leg Attachment Photos 2Image: Leg Attachment Photos 3Image: Leg Attachment Photos 4Same
Weight5.8 pounds3.2 pounds3.6 pounds5.8 poundsDifference isimmaterialLeg AttachmentSizesX-Short: 14" x 41"Short: 14" x 43"Medium: 14" x 45"Long: 14" x 48"X-Long: 14" x 52"One size: 10" x 22"Short: 14" x 43"Standard: 14" x 48"Tall: 14" x 60"Small: 11" x 35"Large: 11" x 43"Slight variation.Rapid Rebootoffers twoadditional sizesto NormaTec, tobetter suit theanatomy of eachuser.
Modes (Inflationsequences, allpreprogrammed)2 modes: "A" mode inflatesand deflates chambers frombottom up (distal toproximal chambers), one ata time. "B" mode alsoinflates chambers frombottom up, but maintainspressure in lower chambersas works its way to top.Then all chambers releasepressure at same time onceall chambers havesequentially inflated.1 mode: inflates and deflateschambers from bottom up(distal to proximal chambers),one at a time.2 different mode settings:"Sequential" mode is sameas "A" mode for RapidReboot, inflating chambersfrom bottom up (distal toproximal), one at a time."Normatec Pulse MassagePattern" pulses one zonewhile previous two hold,moving sequentially upextremity.2 modes: "A" modeinflates and deflateschambers from bottomup (distal to proximalchambers), one at atime. "B" mode alsoinflates chambers frombottom up, butmaintains pressure inlower chambers asworks its way to top.Then all chambersrelease pressure at sametime once all chambershave sequentiallyinflated.reference device.All devices havesequential mode(distal toproximalchambers)."Hip" AttachmentHip (consisting of upperlegs, glutes, hips, lowerback)Back (consisting of lower andmid back)Hip (consisting of upperlegs, glutes, hips, lowerback)Waist (consisting oflower and mid back)Same asNormaTec
Modes (visualdescription)Mode A:Only has one mode. Followsthis sequence:"Sequential:"Mode A:SameHip AttachmentPhotosImage: Hip Attachment Photos 1Image: Hip Attachment Photos 2Image: Hip Attachment Photos 3Image: Hip Attachment Photos 4Same asNormaTec
Image: Mode AImage: Mode A sequenceImage: SequentialImage: Mode AImage: Same
Image: Mode BMode B:"Pulse Massage Pattern:"Image: Pulse Massage PatternZone 1 pulsesZone 2 pulses, Zone 1 holdsZone 3 pulses, Zone 1 & 2 holdZone 4 pulses, Zone 2 & 3 holdZone 5 pulses, Zone 3 & 4 holdImage: Mode BSame as Xiamen.Slight variationwith Normatecwhich holds upto 3 chambers ata time and RapidReboot holdingup to 4.

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Hip AttachmentSizesRegular:26" x 32"Large: 26"35"One size: 14" x 40"One size:28" x 32"Small: 15" x 47"Large: 15" x 62"Slight variation.
"Arm"AttachmentArm (consisting of entirearm, shoulder, upper chestand back)Arm (consisting of forearm,lower bicep)Arm (consisting of entirearm, shoulder, upper chestand back)Arm (consisting of entirearm, shoulder)Same asNormaTec
Arm AttachmentPhotosImage: Two Rapid Reboot arm attachmentsImage: Person wearing Rapid Reboot arm attachmentImage: NormaTec arm attachmentImage: Blue arm attachmentSame
Arm AttachmentSizesRegular: 18" x 38"Long: 18" x 44"One size: 8" x "16One size: 16" x 38"Small: 9" x 27"Large: 9" x 35"Slight variation.
Safety FeaturesButton on display allowsuser to stop or pausetherapy session at any time.Button on display allows userto stop or pause therapysession at any time.Button on display allowsuser to stop or pausetherapy session at any time.Button on display allowsuser to stop or pausetherapy session at anytime.Same
SW/Firmware/MicroprocessorControlMicroprocessorMicroprocessorMicroprocessorMicroprocessorSame

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TechnologyCompressor and valve system which sequentiallyinflates cells of applianceCompressor and valve systemwhich sequentially inflates cellsof applianceCompressor and valve system which sequentiallyinflates cells of applianceCompressor and valve system whichsequentially inflates cellsof applianceSame
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    1. Performance Testing... Rapid Reboot has been tested and met the requirements of the following standards:
      1. Electrical Safety IEC 60601-1:2014... Medical electrical equipment Part 1: General requirements for basic safety and essential performance
      1. EMC IEC 60601-1-2:2014... Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests;
      1. Biocompatibility EN ISO 10993-5:2009... Biological evaluations of medical devices -- Part 5: Tests for In Vitro cytotoxicity
      1. Biocompatibility EN ISO 10993-10:2010... Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitization
    1. Substantial Equivalence... Rapid Reboot Compression Therapy System is substantially equivalent to the legally marketed Relaxor Perfect Touch Air Massaging System (primary predicate) and Normatec Pulse and Pulse Pro (secondary predicate) for Indication for Use, and it is substantially equivalent in technological and performance characteristics to Pt 1002 Pressure Therapy System (reference device). Based on the Safety and Effectiveness test reports it is at least as safe and effective as the predicate devices and technologically comparable to the reference device, and doesn't raise any new safety and/or effectiveness concerns. Hence, it is clear that Rapid Reboot is substantially equivalent to that of the predicate devices and reference device.

§ 890.5650 Powered inflatable tube massager.

(a)
Identification. A powered inflatable tube massager is a powered device intended for medical purposes, such as to relieve minor muscle aches and pains and to increase circulation. It simulates kneading and stroking of tissues with the hands by use of an inflatable pressure cuff.(b)
Classification. Class II (performance standards).