K Number
K182960
Device Name
ReliefBand
Date Cleared
2019-06-21

(239 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
ReliefBand 2.0 is indicated for use in the treatment of nausea, retching and vomiting due to motion sickness, chemotherapy and morning sickness associated with pregnancy. ReliefBand 2.0 is also indicated as an adjunct to antiemetics in reducing postoperative nausea.
Device Description
ReliefBand® 2.0 is a rechargeable, non-invasive digital therapeutic device that is worn on the wrist like a watch. It is a non-invasive device that is indicated for the over the counter use in the relief of mild to moderate nausea and vomiting associated with chemotherapy, motion sickness, mild to moderate nausea and vomiting associated with pregnancy, and as an adjunct to antiemetics in reducing mild to moderate postoperative nausea. ReliefBand 2.0® includes a hypoallergenic band with two electrical contacts on the clasp end of the band. The two contacts must be placed firmly against the underside of the P6 location, approximately two fingers breadth above the distal skin crease of the wrist joint, between the tendons of the palmaris longus and flexor carpi radialis muscles. The electrodes in the wristband provide relief of nausea and vomiting through electrical stimulation of the median nerve on the ventral side of the patient's wrist. The ReliefBand® Device has a user display that incorporates a ten-segment linear LED that is used to display the intensity level. The patient can easily select the pulse amplitude of the electrical impulse and control the intensity of the stimulation via a pushbutton located on the edge of the device. Battery charge level is indicated by a separate four-segment circular LED. A fully charged battery will last for approximately 18 hours of continuous use at the mid-power level or below.
More Information

Not Found

No
The description focuses on electrical stimulation and user-controlled intensity, with no mention of AI or ML technologies.

Yes.
The "Device Description" explicitly states, "ReliefBand® 2.0 is a rechargeable, non-invasive digital therapeutic device."

No

The device is described as a "digital therapeutic device" that provides relief from nausea and vomiting through electrical stimulation. Its intended use is treatment, not diagnosis. It does not mention analyzing patient data to identify a condition or disease.

No

The device description explicitly states it is a "rechargeable, non-invasive digital therapeutic device that is worn on the wrist like a watch" and includes "a hypoallergenic band with two electrical contacts" and "electrodes in the wristband provide relief of nausea and vomiting through electrical stimulation." This indicates a physical hardware component that delivers electrical stimulation, not just software.

Based on the provided information, the ReliefBand 2.0 is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • ReliefBand 2.0 Function: The ReliefBand 2.0 is a non-invasive device that applies electrical stimulation to the wrist to alleviate symptoms of nausea and vomiting. It does not analyze any biological samples from the patient.
  • Intended Use: The intended use clearly states it's for the treatment and relief of symptoms, not for diagnosis or analysis of biological specimens.

Therefore, the ReliefBand 2.0 falls under the category of a therapeutic or symptomatic relief device, not an IVD.

N/A

Intended Use / Indications for Use

ReliefBand 2.0 is indicated for use in the treatment of nausea, retching and vomiting due to motion sickness, chemotherapy and morning sickness associated with pregnancy. ReliefBand 2.0 is also indicated as an adjunct to antiemetics in reducing postoperative nausea.

Product codes

GZJ

Device Description

ReliefBand® 2.0 is a rechargeable, non-invasive digital therapeutic device that is worn on the wrist like a watch. It is a non-invasive device that is indicated for the over the counter use in the relief of mild to moderate nausea and vomiting associated with chemotherapy, motion sickness, mild to moderate nausea and vomiting associated with pregnancy, and as an adjunct to antiemetics in reducing mild to moderate postoperative nausea.

ReliefBand 2.0® includes a hypoallergenic band with two electrical contacts on the clasp end of the band. The two contacts must be placed firmly against the underside of the P6 location, approximately two fingers breadth above the distal skin crease of the wrist joint, between the tendons of the palmaris longus and flexor carpi radialis muscles. The electrodes in the wristband provide relief of nausea and vomiting through electrical stimulation of the median nerve on the ventral side of the patient's wrist.

The ReliefBand® Device has a user display that incorporates a ten-segment linear LED that is used to display the intensity level. The patient can easily select the pulse amplitude of the electrical impulse and control the intensity of the stimulation via a pushbutton located on the edge of the device. Battery charge level is indicated by a separate four-segment circular LED. A fully charged battery will last for approximately 18 hours of continuous use at the mid-power level or below.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

wrist

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Over-The-Counter Use

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)

The performance specifications for the ReliefBand® 2.0 device are substantially equivalent to the predicate device. ReliefBand 2.0 was tested to the following standard: ISO 14971: Medical Devices Application of Risk Management to Medical Devices. A comparison of the technological characteristics of the ReliefBand® 2.0 and the predicate device ReliefBand® 1.5 was performed. The results of the comparison demonstrate that the ReliefBand® 2.0 device is substantially equivalent to the marketed predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

ReliefBand® 1.5, K173233

Reference Device(s)

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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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".

June 21, 2019

ReliefBand Technologies LLC Barbara Whitman Vice President, Regulatory Affairs and Quality Assurance 220 Gibraltar Road, Suite 270 Horsham, Pennsylvania 19044

Re: K182960

Trade/Device Name: ReliefBand 2.0 Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous Electrical Nerve Stimulator For Pain Relief Regulatory Class: Class II Product Code: GZJ Dated: May 22, 2019 Received: May 22, 2019

Dear Barbara Whitman:

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 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

1

devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-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 Scott 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

Enclosure

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Indications for Use

510(k) Number (if known) K182960

Device Name ReliefBand 2.0

Indications for Use (Describe)

ReliefBand 2.0 is indicated for use in the treatment of nausea, retching and vomiting due to motion sickness, chemotherapy and morning sickness associated with pregnancy. ReliefBand 2.0 is also indicated as an adjunct to antiemetics in reducing postoperative nausea.

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 K182960 ReliefBand 2.0

Submitter Information

Applicant: Relief band® Technologies LLC 220 Gibralter Road, Suite 270 Horsham, PA 19044 Phone: 877-735-2263 Ext 122 Contact: Barbara Whitman Vice President of Regulatory Affairs and Quality Assurance Date Prepared: October 15, 2018

Device Classification

Trade name: ReliefBand® 2.0 Common Name: Nerve Stimulation Therapy Device Classification Name: Transcutaneous electrical nerve stimulator for pain relief (21 CFR 882.5890) Product Code: GZJ Device Classification: Class II Predicate Device: ReliefBand® 1.5, K173233

Description of the Device

ReliefBand® 2.0 is a rechargeable, non-invasive digital therapeutic device that is worn on the wrist like a watch. It is a non-invasive device that is indicated for the over the counter use in the relief of mild to moderate nausea and vomiting associated with chemotherapy, motion sickness, mild to moderate nausea and vomiting associated with pregnancy, and as an adjunct to antiemetics in reducing mild to moderate postoperative nausea.

ReliefBand 2.0® includes a hypoallergenic band with two electrical contacts on the clasp end of the band. The two contacts must be placed firmly against the underside of the P6 location, approximately two fingers breadth above the distal skin crease of the wrist joint, between the tendons of the palmaris longus and flexor carpi radialis muscles. The electrodes in the wristband provide relief of nausea and vomiting through electrical stimulation of the median nerve on the ventral side of the patient's wrist.

The ReliefBand® Device has a user display that incorporates a ten-segment linear LED that is used to display the intensity level. The patient can easily select the pulse amplitude of the electrical impulse and control the intensity of the stimulation via a pushbutton located on the edge of the device. Battery charge level is indicated by a separate four-segment circular LED. A fully charged battery will last for approximately 18 hours of continuous use at the mid-power level or below.

Indications for Use

ReliefBand® 2.0 is indicated for use in the treatment of nausea, retching and vomiting due to motion sickness, chemotherapy and morning sickness associated with pregnancy. ReliefBand® 2.0 is also indicated as an adjunct to antiemetics in reducing postoperative nausea.

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Technical Characteristics

A comparison of the technological characteristics of the ReliefBand® 2.0 and the predicate device ReliefBand® 1.5 has been performed. The results of the comparison demonstrate that the ReliefBand® 2.0 device is substantially equivalent to the marketed predicate device. The differences between the ReliefBand® and the predicate device do not raise new questions about the safety or effectiveness of the device.

Basis for Determination of Substantial Equivalence

Substantial equivalence was determined on the basis that there have been no changes in the technology, mechanism of action or intended use. Device modifications include relocation of the electrodes from the back of the device face to the clasp end of the wrist band, changes in the size, shape and aesthetic appearance of the casing, a simpler and more streamlined user interface and a power source change from disposable to rechargeable batteries. There is a new user interface that provides 10 increments of intensity from 8 to 40 mA where there were previously 5 increments from 10 to 40 mA. These changes do not impact the safety of efficacy of the ReliefBand® 2.0 device.

ItemReliefBand 1.5ReliefBand 2.0Comments
Indications for
UseReliefband® is a digital
therapeutic device
indicated for use in the
treatment of nausea,
retching and vomiting due
to motion sickness,
morning sickness
associated with pregnancy,
and chemotherapy.
Reliefband® is also
indicated as an adjunct to
antiemetic therapy in
reducing post-operative
nausea.Reliefband® 2.0 is
indicated for use in the
treatment of nausea,
retching and vomiting
due to motion
sickness,
chemotherapy and
morning sickness
associated with
pregnancy.
Reliefband® 2.0 is
also indicated as an
adjunct to antiemetics
in reducingSimilar
SizeTeardrop shape, 3.81W x
5.08L x 1.14 H cmRectangular shape,
1.45 W x 2.35 L x 0.41
H cmDoes not affect
safety and
effectiveness
WeightApproximately 34 gramsApproximately 50
gramsDoes not affect
safety and
effectiveness
Operating
Temperature10°C to 45°C (50°F to
113°F) ±18% output
tolerance at operating
extremesSameIdentical
User ControlsPush ButtonTwo Push Buttons:
On/Off and Intensity
Down/UpDoes not affect
safety and
effectiveness
Operating
ModesOFF
ON/Set intensity levelSameIdentical
Interactive
DisplayFive flashing LED setting
indicators (green), 2
second flash period during
normal operation. One
flashing low battery LED
indicator (red), 4 second
flash period alternating
with setting LED when in
Low Battery operationBlue LED logo pulsing
means device is
providing therapy.
Ten diagonal blue
LED bars indicate
therapy power level.
Four circular blue
LED segments indicate
battery charge level.Does not affect
safety and
effectiveness
Display Face
LocationVentral sideDorsal sideDoes not affect
safety and
effectiveness
Output
WaveformAsymmetric biphasic
pulses.
Ramp up, constant and
ramp down phases.SameIdentical
Peak pulse
amplitudeFive discrete levels
between 10-40 mA
(nominal), set by intensity
selection; nominally
constant current, +/-10%
at nominal conditionsTen discrete levels
between 8-40 mA
(nominal), set by
intensity selection;
nominally constant
current, +/-10% at
nominal conditionsSimilar
Pulse
frequencyFixed at 31 Hz (32
millisecond period).SameIdentical
Amplitude
modulation
cycleSingle cycleSameIdentical
Maximum
Charge
Delivered
(500 Ω2 load)Approximately 3.1
microcoulombs (max. 3.56
microcoulombs including
15% output tolerance)SameIdentical
ElectrodesTwo gold-plated copper,
nickel or zincTwo hypoallergenic
surgical grade (316L)
stainless steel contactsPreviously cleared
material. Does not
adversely impact
safety and/or
effectiveness
Device Status
IndicatorsFive separate green
flashing LEDs indicate 5
intensity levels. Selection
of the intensity level is
performed via a
pushbutton located on the
user display. A sixth
blinking LED is used to
display the low battery
indicator.Ten Intensity level
LEDS are arranged in
a single line. Selection
of the intensity level is
performed via a
pushbutton on the edge
of the face. Battery
charge indicator
provides 4 charge
levels and a redDoes not affect
safety and
effectiveness
Power3V, CR2025 Lithium coin
cells only, replaceable.Rechargeable 40 mA
Li-Ion Polymer (max
capacity 50 mA)Conforms to IEC
62133 standard.
Regulation of
Stimulus
output with
decreasing
battery
voltageRegulation is ± 5% of
nominal output. Device
stops stimulation when
regulation cannot be
maintained (device turns
itself off).SameIdentical
Battery life150 hours continuous or
intermittent use when
two 3V CR2025 used.Approximately three
years or 500 charge
cycleDoes not adversely
impact safety
and/or
effectiveness
Low battery
warningLow battery indicator
flashes when
approximately 10% of
battery life remainsWhen battery level
registers 15% or less, a
single LED segment
will switch from static
blue to flashing redDoes not adversely
impact safety
and/or
effectiveness
Wrist bandContains latexLatex freeConforms to ISO
10993 standard

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Performance Specifications

The performance specifications for the ReliefBand® 2.0 device are substantially equivalent to the predicate device. ReliefBand 2.0 was tested to the following standard:

  • ISO 14971: Medical Devices Application of Risk Management to Medical Devices -

Conclusion:

A comparison of the technological characteristics of the ReliefBand® 2.0 and the predicate device ReliefBand® 1.5 was performed. The results of the comparison demonstrate that the ReliefBand® 2.0 device is substantially equivalent to the marketed predicate device.