K Number
K191547
Device Name
ReliefBand
Date Cleared
2019-08-30

(79 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
ReliefBand(R) is indicated for use in the treatment of nausea, vomiting associated with physician-diagnosed migraine, hangover, anxiety, motion sickness, chemotherapy and morning sickness from pregnancy. ReliefBand is also indicated as an adjunct to antiemetics in reducing postoperative nausea. For over the counter use.
Device Description
ReliefBand® models 1.5 and 2.0 are battery-powered non-invasive digital therapeutic devices that are worn on the wrist like a watch. They are indicated for the counter use in the relief of mild to moderate nausea and retching associated with physician-diagnosed migraine, hangover, anxiety, motion sickness, chemotherapy and morning sickness associated with pregnancy as an adjunct to antiemetics in reducing mild to moderate postoperative nausea. ReliefBand 1.5 and 2.0 include two electrical contacts on the back of the device (ReliefBand 1.5) or on the clasp (ReliefBand 2.0), which must be placed firmly against the underside of the wrist at 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 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 includes a five-level (ReliefBand 1.5) or 10-level (ReliefBand 2.0) LED that indicates the signal intensity. 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 face of the devices. A low battery indicator LED is also included on the face of the devices. ReliefBand 1.5 uses disposable batteries while ReliefBand 2.0 has a lithium-ion rechargeable battery. A fully charged battery will last for up to 18 hours of continuous use at the mid-power level or below.
More Information

Not Found

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

Yes.
The device description explicitly states, "ReliefBand® models 1.5 and 2.0 are battery-powered non-invasive digital therapeutic devices."

No

The ReliefBand is a therapeutic device that provides electrical stimulation to relieve nausea and vomiting. It does not diagnose conditions.

No

The device description explicitly states it is a "battery-powered non-invasive digital therapeutic device" with "two electrical contacts" and a "user display that includes a five-level (ReliefBand 1.5) or 10-level (ReliefBand 2.0) LED". These are all hardware components.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The ReliefBand device works by applying electrical stimulation to the wrist to alleviate nausea and vomiting. It does not analyze any biological samples from the patient.
  • Intended Use: The intended use is for the treatment of symptoms (nausea and vomiting), not for diagnosing a condition.

The device is a therapeutic device that provides electrical stimulation.

N/A

Intended Use / Indications for Use

ReliefBand(R) is indicated for use in the treatment of nausea, vomiting associated with physician-diagnosed migraine, hangover, anxiety, motion sickness, chemotherapy and morning sickness from pregnancy. ReliefBand is also indicated as an adjunct to antiemetics in reducing postoperative nausea. For over the counter use.

Product codes

GZJ

Device Description

ReliefBand(R) models 1.5 and 2.0 are battery-powered non-invasive digital therapeutic devices that are worn on the wrist like a watch. They are indicated for the counter use in the relief of mild to moderate nausea and retching associated with physician-diagnosed migraine, hangover, anxiety, motion sickness, chemotherapy and morning sickness associated with pregnancy as an adjunct to antiemetics in reducing mild to moderate postoperative nausea.

ReliefBand 1.5 and 2.0 include two electrical contacts on the back of the device (ReliefBand 1.5) or on the clasp (ReliefBand 2.0), which must be placed firmly against the underside of the wrist at 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 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 includes a five-level (ReliefBand 1.5) or 10-level (ReliefBand 2.0) LED that indicates the signal intensity. 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 face of the devices. A low battery indicator LED is also included on the face of the devices. ReliefBand 1.5 uses disposable batteries while ReliefBand 2.0 has a lithium-ion rechargeable battery. A fully charged battery will last for up to 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)

Not Found

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

Not Found

Predicate Device(s)

K173233, K182960

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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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August 30, 2019

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol on the left is a stylized representation of human services. To the right of the symbol is the FDA acronym in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

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

Re: K191547

Trade/Device Name: ReliefBand 1.5 and 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: July 30, 2019 Received: August 1, 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

1

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/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 medical devices and radiation-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,

Robert Kang, PharmD Acting 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) K191547

Device Name ReliefBand 1.5 and ReliefBand 2.0

Indications for Use (Describe)

ReliefBand(R) is indicated for use in the treatment of nausea, vomiting associated with physician-diagnosed migraine, hangover, anxiety, motion sickness, chemotherapy and morning sickness from pregnancy. ReliefBand is also indicated as an adjunct to antiemetics in reducing postoperative nausea. For over the counter use.

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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510K Summary K191547

Submitter Information

Applicant: Reliefband® 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: July 30, 2019

Device Classification Trade name: ReliefBand® 1.5, 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 Devices: ReliefBand® 1.5 (K173233) and ReliefBand® 2.0 (K182960)

Description of the Device

ReliefBand® models 1.5 and 2.0 are battery-powered non-invasive digital therapeutic devices that are worn on the wrist like a watch. They are indicated for the counter use in the relief of mild to moderate nausea and retching associated with physician-diagnosed migraine, hangover, anxiety, motion sickness, chemotherapy and morning sickness associated with pregnancy as an adjunct to antiemetics in reducing mild to moderate postoperative nausea.

ReliefBand 1.5 and 2.0 include two electrical contacts on the back of the device (ReliefBand 1.5) or on the clasp (ReliefBand 2.0), which must be placed firmly against the underside of the wrist at 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 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 includes a five-level (ReliefBand 1.5) or 10-level (ReliefBand 2.0) LED that indicates the signal intensity. The patient can easily select the pulse amplitude of the electrical impulse and control the intensity of the stimulation via a pushbutton

4

located on the face of the devices. A low battery indicator LED is also included on the face of the devices. ReliefBand 1.5 uses disposable batteries while ReliefBand 2.0 has a lithium-ion rechargeable battery. A fully charged battery will last for up to 18 hours of continuous use at the mid-power level or below.

Indications for Use

ReliefBand is indicated for use in the treatment of nausea, vomiting and retching associated with physician-diagnosed migraine, hangover, anxiety, motion sickness, chemotherapy and morning sickness from pregnancy. ReliefBand is also indicated as an adjunct to antiemetics in reducing postoperative nausea. For over the counter use.

Technical Characteristics

The subject and the predicate ReliefBand devices are identical. Only the wording in the indications for use has changed. The are no changes in technical characteristic between the predicate and the subject devices. The differences between the subject ReliefBand and the predicate device do not raise new questions about the safety or effectiveness of the device.

ItemReliefBand® 1.5 and 2.0 (Predicate Devices)ReliefBand® 1.5 and 2.0 (Subject Devices)
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 postoperative nausea.
Relief Band 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.Reliefband® is indicated for use in the treatment of nausea, vomiting and retching associated with physician diagnosed migraine, hangover, anxiety, motion sickness, chemotherapy and morning sickness from pregnancy. ReliefBand is also indicated as an adjunct to antiemetics in reducing postoperative nausea. For over the counter use.
Size
ReliefBand 1.5Teardrop shape, 3.81Wx5.08Lx1.14H cmIdentical for ReliefBand 1.5
ReliefBand 2.0Rectangular shape, 1.45Wx2.35Lx0.41H cmIdentical for ReliefBand 2.0
Weight
ReliefBand 1.5Approximately 34 gramsIdentical for ReliefBand 1.5
ReliefBand 2.0Approximately 50 gramsIdentical for ReliefBand 2.0
Operating
Temperature
ReliefBand 1.510°C to 45°C (50°F to 113°F) ±18% output tolerance at operating extremesIdentical
ReliefBand 2.0
User Controls
ReliefBand 1.5One Push Button: On/Off/IntensityIdentical for ReliefBand 1.5
ReliefBand 2.0Two Push Buttons: On/Off (1), Intensity (2)Identical for ReliefBand 2.0
Operating ModesON/OFF/Set intensity levelIdentical
ReliefBand 1.5Five 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 operation.Identical for Relief Band 1.5
ReliefBand 2.0Ten diagonal blue LED bars indicate therapy
power level. Four circular blue LED segments
indicate battery charge level.Identical for ReliefBand 2.0
Display Face
Location
ReliefBand 1.5Ventral sideIdentical for ReliefBand 1.5
ReliefBand 2.0Dorsal SideIdentical for ReliefBand 2.0
Output WaveformAsymmetric biphasic pulses.
Ramp up, constant and ramp down phases.Identical
Peak pulse
Amplitude
ReliefBand 1.5Five discrete levels between 10-40 mA (nominal),
set by intensity selection; nominally constant
current, +/-10% at nominal conditionsIdentical for ReliefBand 1.5
ReliefBand 2.0Ten discrete levels between 8-40 mA (nominal),
set by intensity selection; nominally constant
current, +/-10% at nominal conditionsIdentical for ReliefBand 2.0
Pulse frequencyFixed at 31 Hz (32 millisecond period).Identical
Pulse widthFixed at 350 milliseconds.Identical
Amplitude
modulation cycleSingle cycleIdentical
Maximum Charge
Delivered (500 Ω
load)Approximately 3.1 microcoulombs (max. 3.56
microcoulombs including 15% output tolerance)Identical
Electrodes
ReliefBand 1.5Two gold-plated copper, nickel or zincIdentical for ReliefBand 1.5
ReliefBand 2.0Two hypoallergenic surgical grade (316L)
stainless steel contactsIdentical for ReliefBand 2.0
Device Status
Indicators
ReliefBand 1.5Five 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.Identical for ReliefBand 1.5
ReliefBand 2.0Ten 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
red blinking low power warning LED.Identical for ReliefBand 2.0
Power
ReliefBand 1.53V, CR2025 Lithium-ion coin cells only, replaceable.Identical for ReliefBand 1.5
ReliefBand 2.0Rechargeable 40 mA Li-Ion Polymer - IEC62133 standard. Not replaceable.Identical for ReliefBand 2.0
Regulation of
Stimulus Output
with Decreasing
Battery Voltage
Battery LifeRegulation is ± 5% of nominal output. Device stops stimulation when regulation cannot be maintained (device turns itself off).Identical
ReliefBand 1.518 hours continuous or intermittent use with two 3V CR2025Identical for ReliefBand 1.5
ReliefBand 2.0Approximately three years/ 500 charge cycles.Identical for ReliefBand 2.0
Low Battery
Warning
ReliefBand 1.5Low battery indicator flashes when approximately 10% of battery life remains.Identical for ReliefBand 1.5
ReliefBand 2.0When battery level registers 15% or less, a single LED segment will switch from static blue to flashing red.Identical for ReliefBand 2.0
Wrist Band
ReliefBand 1.5
ReliefBand 2.0Contains latex
Latex-FreeIdentical for ReliefBand 1.5
Identical for ReliefBand 2.0

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Performance Specifications

The performance specifications for the applicant ReliefBand devices are identical, and thus substantially equivalent, to the predicate devices.

Basis for Determination of Substantial Equivalence

Substantial equivalence was determined on the basis that there have been no changes in the physical device, technology, mechanism of action or intended use. Device modifications include only the clarified intended use, which includes an additional anticipated source of nausea (physician-diagnosed migraine) that Reliefband is intended to treat. These changes do not impact the safety of efficacy of the ReliefBand 1.5 or ReliefBand 2.0 devices.