K Number
K191862
Device Name
Compression Therapy Device Model LGT-2200SP
Date Cleared
2019-10-29

(110 days)

Product Code
Regulation Number
890.5650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Compression Therapy Device LGT-2200SP is intended for the temporary relief of minor muscle aches and for the temporary increase in circulation to the treated areas, it can simulate kneading and stroking of tissues by using an inflatable garment.
Device Description
Compression therapy device LGT-2200SP is a powered inflatable tube massager, comprised of an air compressor with intermittent pneumatic controller, 4-chamber sleeves covered with Polyether Nylon Fabric, and a connectable hose for connecting the device to the sleeves. The case of main unit body is made from ABS plastic. The device can be powered by an external power supply, or be powered by an internal lithium ion battery. The sleeves have 4-chambers and different applicable body areas, such as the Arm/ Leg/ Waist, hip and thigh/ Calf and foot. The sleeves can be inflating sequentially to apply the circulating pressure on the target body areas which controlled by the main unit. The device simulates manual kneading and stroking of tissues by sequential inflated sleeves, to temporarily relieve minor muscle aches and/or pains and to temporarily increase circulation to the treated areas.
More Information

No
The description details a standard pneumatic compression device with an air compressor and controller. There is no mention of AI, ML, or any data processing that would suggest such technology is used. The performance studies are based on electrical safety, EMC, and biocompatibility standards, not AI/ML performance metrics.

Yes.
The device is intended for the temporary relief of minor muscle aches and to temporarily increase circulation to treated areas, which are therapeutic claims.

No

Explanation: The device's intended use is for temporary relief of muscle aches and temporary increase in circulation, not for diagnosing medical conditions.

No

The device description clearly outlines hardware components including an air compressor, inflatable sleeves, a hose, and a main unit body made of ABS plastic, powered by an external supply or internal battery.

No, 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 Compression Therapy Device LGT-2200SP is a physical therapy device that applies external pressure to the body using inflatable sleeves. It does not analyze any biological samples.
  • Intended Use: The intended use is for temporary relief of muscle aches and increased circulation, which are physical effects, not diagnostic purposes.

The information provided clearly describes a device that interacts with the body externally for therapeutic purposes, not for analyzing samples to diagnose conditions.

N/A

Intended Use / Indications for Use

Compression Therapy Device LGT-2200SP is intended for the temporary relief of minor muscle aches and for the temporary increase in circulation to the treated areas, it can simulate kneading and stroking of tissues by using an inflatable garment.

Product codes

IRP

Device Description

Compression therapy device LGT-2200SP is a powered inflatable tube massager, comprised of an air compressor with intermittent pneumatic controller, 4-chamber sleeves covered with Polyether Nylon Fabric, and a connectable hose for connecting the device to the sleeves. The case of main unit body is made from ABS plastic

The device can be powered by an external power supply, or be powered by an internal lithium ion battery. The sleeves have 4-chambers and different applicable body areas, such as the Arm' Leg/ Waist, hip and thigh/ Calf and foot. The sleeves can be inflating sequentially to apply the circulating pressure on the target body areas which controlled by the main unit.

The device simulates manual kneading and stroking of tissues by sequential inflated sleeves, to temporarily relieve minor muscle aches and/or pains and to temporarily increase circulation to the treated areas. It is to be used by adults who are in good health.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Arm, Leg, Waist, hip, thigh, Calf and foot

Indicated Patient Age Range

Adults

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)

Compression Therapy Device has been evaluated the safety and performance by lab bench testing according to the following standards:

  • ANSI/AAMI ES60601-1, Medical Electrical Equipment Part 1: General Requirements for Safety, 2005+A1:2012
  • IEC 60601-1-2, Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests, 2014
  • IEC 60601-1-11, Medical electrical equipment Part 1-11: General requirements for basic safety and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment, Edition 2.0 2015-01
  • IEC 62133-2:2017, Secondary cells and batteries containing alkaline or other non-acid electrolytes - Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications- Part 2: Lithium systems
  • ISO 10993-5: 2009 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity
  • ISO 10993-10: 2010 Biological evaluation of medical devices Part 10: Tests for irritation and skin sensitization
  • Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices.

Clinical performance is not deemed necessary.

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

Not Found

Predicate Device(s)

K160608, K182668

Reference Device(s)

K161907

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the seal of the Department of Health & Human Services. 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 are the words "U.S. FOOD & DRUG" in blue, with the word "ADMINISTRATION" below it.

October 29, 2019

Guangzhou Longest Science & Technology Co., Ltd. % Jet Li Regulation Manager Guangzhou KEDA Biological Tech Co., Ltd. 6F, No.1 TianTai Road, Science City, LuoGang District Guangzhou, CN

Re: K191862

Trade/Device Name: Compression Therapy Device Model LGT-2200SP Regulation Number: 21 CFR 890.5650 Regulation Name: Powered Inflatable Tube Massager Regulatory Class: Class II Product Code: IRP Dated: September 1, 2019 Received: September 5, 2019

Dear Jet Li:

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/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.

For Vivek Pinto, Ph.D. Director (Acting) 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

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K191862

Device Name Compression Therapy Device Model: LGT-2200SP

Indications for Use (Describe)

Compression Therapy Device LGT-2200SP is intended for the temporary relief of minor muscle aches and for the temporary increase in circulation to the treated areas, it can simulate kneading and stroking of tissues by using an inflatable garment.

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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3

510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA and 21 CFR 890.5650, and there were no prior submissions for the subject device.

1. Submitter Information

Sponsor: GUANGZHOU LONGEST SCIENCE&TECHNOLOGY CO., LTD.

Address: 5&6f, BuildingB4, No.11, Kaiyuan Avenue, Science City Guangzhou Hi-Tech Industrial

Development Zone, Guangzhou Guangdong, CHINA 510530

Contact Person: Xiaobing Luo

Title: Deputy General Manager

Phone: +86-020-66353999 Fax: +86-020-66353920

E-mail: gzlongest@126.com

Application Correspondent: Jet Li Company: Guangzhou KEDA Biological Technology Co., Ltd E-mail: med-jl @foxmail.com Phone: 86-18588874857 Address: 6F, No.1 TianTairoad, Science City, LuoGang District, GuangZhou City, China

2. Subject Device Information

Type of 510(k) submission: Traditional Common Name: Compression Therapy Device Model: LGT-2200SP Classification Name: Powered inflatable tube massager Review Panel: Physical Medicine Product Code: IRP Regulation Number: 21 CFR 890.5650

4

Regulation Class: 2

    1. Predicate and Reference Device Information 1) Primary Predicate Device Sponsor: NormaTec Industries Trade/Device Name: NormaTec Pulse and NormaTec Pulse Pro 510K number: K160608 Regulation Number: 21 CFR 890.5650 2) Secondary Predicate Device Sponsor: Rapid Reboot Recovery Products, LLC Device Name: Rapid Reboot Compression Therapy System 510(k) number: K182668 Regulation Number: 21 CFR 890.5650 3) Reference Device Sponsor: XIAMEN SENYANG CO., LTD. Device Name: Pressure Therapy System, model: Pt 1002 510(k) number: K161907 Regulation Number: 21 CFR 890.5650

4. Device Description

Compression therapy device LGT-2200SP is a powered inflatable tube massager, comprised of an air compressor with intermittent pneumatic controller, 4-chamber sleeves covered with Polyether Nylon Fabric, and a connectable hose for connecting the device to the sleeves. The case of main unit body is made from ABS plastic

The device can be powered by an external power supply, or be powered by an internal lithium ion battery. The sleeves have 4-chambers and different applicable body areas, such as the Arm' Leg/ Waist, hip and thigh/ Calf and foot. The sleeves can be inflating sequentially to apply the circulating pressure on the target body areas which controlled by the main unit.

The device simulates manual kneading and stroking of tissues by sequential inflated sleeves, to temporarily relieve minor muscle aches and/or pains and to temporarily increase circulation to the treated areas. It is to be used by adults who are in good health.

5. Intended Use/Indication for use

5

Compression Therapy Device LGT-2200SP is intended for the temporary relief of minor muscle aches and pains and for the temporary increase in circulation to the treated areas, it can simulate kneading and stroking of tissues by using an inflatable garment.

Test Summary 6.

Compression Therapy Device has been evaluated the safety and performance by lab bench testing according to the following standards:

  • മ ANSI/AAMI ES60601-1, Medical Electrical Equipment Part 1: General Requirements for Safety, 2005+A1:2012
  • IEC 60601-1-2, Medical electrical equipment Part 1-2: General requirements for basic ಡ safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests, 2014
  • IEC 60601-1-11, Medical electrical equipment Part 1-11: General requirements for basic x safety and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment, Edition 2.0 2015-01
  • IEC 62133-2:2017, Secondary cells and batteries containing alkaline or other non-acid 区 electrolytes - Safety requirements for portable sealed secondary cells, and for batteries made from them, for use in portable applications- Part 2: Lithium systems
  • x ISO 10993-5: 2009 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity
  • ISO 10993-10: 2010 Biological evaluation of medical devices Part 10: Tests for irritation and X skin sensitization
  • Guidance for the Content of Premarket Submissions for Software Contained in Medical x Devices.

7. Comparison to Predicate Device

Compare with predicate device, the subject device is very similar in design principle, intended use, indications for use, functions, material and the applicable standards. The differences between subject device and predicate device do not raise any new questions of safety or effectiveness. See the below form.

6

Elements ofPredicate DevicePredicate DevicePredicate Device
comparisonSubject Device(Primary)(II)(III)Verdict
ManufacturerGUANGZHOU LONGEST
SCIENCE&TECHNOLOGY CO.,
LTD.NormaTec IndustriesRapid Reboot Recovery Products,
LLCXIAMEN SENYANG CO., LTD.--
510K numberTBDK160608K182668K161907--
Product NameCompression Therapy Device
LGT-2200SPNormaTec Pulse and NormaTec
Pulse ProRapid Reboot Compression
Therapy SystemPressure Therapy System, Pt
1002--
Classification
NamePow ered inflatable tube
massagerPow ered inflatable tube massagerPow ered inflatable tube massagerPow ered inflatable tube massagerSE
Regulation
Class2222SE
Regulation
Number21 CFR 890.565021 CFR 890.565021 CFR 890.565021 CFR 890.5650SE
OTC & RxOTCOTCOTCRx--
Indications for Use
Indications for
UseCompression Therapy Device
LGT-2200SP is intended for the
temporary relief of minor muscle
aches and pains and for the
temporary increase in circulation
to the treated areas, it can
simulate kneading and stroking
of tissues by using an inflatable
garment.The NormaTec Pulse and Pulse
Pro is an air pressure massager
intended to temporarily relieve
minor muscle aches and/or pains,
and to temporarily increase
circulation to the treated areas.The Rapid Reboot Compression
Therapy System is intended for
the temporary relief of minor
muscle aches and pains and for
the 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 tissuesThe device is indicated for use by
medical professionals and patient
at home, who are under medical
supervision, in treating many
conditions, such as: Primary
lymphedema, edema follow ing
trauma and sport injuries, post
immobilization edema, venous
insufficiencies, lymphedema.Minor
differen
t
Note 1
Elements of
comparisonSubject DevicePredicate Device
(Primary)Predicate Device
(II)Predicate Device
(III)Verdict
by using an inflatable garment.
Device design
Power SourceAC100-240V, 50/60Hz
Battery 11.1V, 6500mAh meet
IEC 6213312 VDC via an IEC 60601-1
compliant pow er supply (100-240
VAC input)
Optional Integrated rechargeable
battery110 V, 60Hz110 V, 60HzMinor
different
t
Note 2
Power
consumption90VA14W30W30WMinor
different
t
Note 2
Dimensions
(WHD)270148129mm4"*5" *9"10" x 6.5" x 5"260170130mmMinor
different
t
Note 2
Elements of
comparisonSubject DevicePredicate Device
(Primary)Predicate Device
(II)Predicate Device
(III)Verdict
PhotoImage: Subject DeviceImage: Predicate Device (Primary)Image: Predicate Device (II)Image: Predicate Device (III)Minor
different
Note 2
Weight2.0 Kg(4.4pounds)3.6 pounds5.8 pounds5.8 poundsMinor
different
Note 2
Housing
MaterialsMolded ABS enclosureMolded ABS enclosureMolded ABS enclosureMolded ABS enclosureSE
Sleeves4-chamber Arm Sleeve:
97.0*28.7 cmLeg:Leg:
X-Short: 14" x 41"
Short: 14" x 43"
Medium: 14" x 45"Small Leg Cuff:90X30cm
Large Leg Cuff:110X30cmMinor
different
Elements of
comparisonSubject DevicePredicate Device
(Primary)Predicate Device
(II)Predicate Device
(III)Verdict
4-chamber Leg Sleeve:
S: $94.2*35.85$ cm
M: $106.2*39.0$ cm
L: $116.0*44.8$ cm

Image: 4-chamber Leg Sleeve | Image: Normatec Arm Sleeve | Long: 14" x 48"
X-Long: 14" x 52"

Image: Rapid Reboot Leg Sleeve | Image: Blue Sleeve | Note 3 |
| | 4-chamber Waist, Hip and Thigh
Sleeve: $71.3*71.8$ cm

Image: 4-chamber Waist, Hip and Thigh Sleeve | Hip:

Image: Normatec Hip Sleeve | Hip:
Regular: 26" x 32"
Large: 26" 35"

Image: Rapid Reboot Hip Sleeve | | |
| | 4-chamber Calf and Foot
Sleeve: $61.0*30.1$ cm

Image: 4-chamber Calf and Foot Sleeve | | Arm:
Regular: 18" x 38"
Long: 18" x 44"

Image: Rapid Reboot Arm Sleeve | | |
| Elements of | | Predicate Device | Predicate Device | Predicate Device | |
| comparison | Subject Device | (Primary) | (II) | (III) | Verdict |
| | Image: Subject Device | | Image: Predicate Device (II) | | |
| Number of
Chambers | 4-chamber | 5 or less | 4 Chambers | 4 Chambers for each unit | SE |
| Sleeve
Materials | Polyether Nylon Fabric | 200 denier nylon with a
polyurethane laminate/extrusion | Nylon with a Polyurethane
laminate | Thermoplastic Urethane | Minor
different
Note 3 |
| Mode of
Compression | Sequential | Sequential | Sequential | Sequential | SE |
| Device
Pressure
range | 30-150mmHg | 30-110 mmHg | 0-200 mmHg | 0-250mmHg | Minor
different
Note 4 |
| Elements of
comparison | Subject Device | Predicate Device
(Primary) | Predicate Device
(II) | Predicate Device
(III) | Verdict |
| Treatment
Time | 1min-99min, default as 30min,
step of 5min | Stays on until the user turns it off
or can be set up to turn off in a
range of 10mins to continuous | User determines therapy time.
Choose from 10, 20, or 30 minute
session time, with option to add
additional 10 minutes to any
therapy time. | 0 - 30mins | Minor
different
t
Note 5 |
| Work Mode | Image: Numbered boxes 1-4

SEQUENTIAL: ①→②→③→④
SQUEEZE: ①②→③④
FLUSH: ①→①②→①②③→①
②③④
FLOW: ④→③→②→①
RELEASE: ③④→①②
WAVE: SEQUENTIAL+
SEQUENTIAL+FLOW | Sequential
Image: Diagram of NormaTec Pulse
Image: Diagram of Zone pulses | Model A
Image: Model A
Model B
Image: Model B | Model A
Image: Model A
Model B
Image: Model B | Minor
different
t
Note 6 |
| Elements of
comparison | Subject Device | Predicate Device
(Primary) | Predicate Device
(II) | Predicate Device
(III) | Verdict |
| Patient contact | Non-conductive appliances | Non-conductive appliances | Image: Predicate Device II | Image: Predicate Device III | SE |
| Software/Firm
ware/Micropro
cessor Control | Microprocessor | Microprocessor | Microprocessor | Microprocessor | SE |
| Technology | Compressor and valve
system w hich sequentially
inflates cells of appliance | Compressor and valve system
w hich sequentially inflates cells of
appliance | Compressor and valve
system w hich sequentially
inflates cells of appliance | Compressor and valve
system w hich sequentially
inflates cells of appliance | SE |
| FDA-Recognized Standards | | | | | |
| Electrical
safety, EMC | ANSI/AAMI ES60601-1
IEC 60601-1-2
IEC 60601-1-11
IEC 62133
ISO 10993-5
ISO 10993-10 | ES 60601-1
IEC 60601-1-2;
IEC 60601-1-11 | IEC 60601-1:2014;
IEC 60601-1-2:2014;
EN ISO 10993-5:2009
EN ISO 10993-10:2010 | IEC 60601-1
IEC 60601-1-2
ISO10993-5
ISO10993-10 | Minor
different
t
Note 7 |

7

8

9

10

11

12

13

Note 1

Although there is a little difference about the cation for use, the meanings are the same. This difference does not affect he safety and effectiveness.

Note 2

Although the subject device design and specification parameter between the predicate are different, they are both complied with ANSVAAM ES60601 -1. So the minor differences on such parance) do not affect the safety and effectiveness.

Note 3

Although the device provides four kind sleeves which have minor difference about size and appearance, the sleeve chamber number are the same and the applicable body areas are included in the predical of sleeves is also complied with ISO 1099-5 and ISO 10993-10. Therefore, the difference would not raise adversely impact on safety and effectiveness.

Note 4

Although the pressure range of subject devices, the range is smaller and contained by the predicate device (1), sothe difference of pressure range would not raise adversely impact on safety and effectiveness.

Note 5

Although the treatment time range of subject device is to 99mins, which seems to be longer than the predicated with is suitable for daily use. And the treatment time is optionally set by userwith 5mins step, which is more exact to the difference of pressure range would not raise adversely impact on safety and effectiveness.

14

Note 6

Although the subject device provides six kinds of work mode, the SEQUENTIAL and FLUSH mode are the same with the other work modes of subject device just have different about the different thambers. The treatment pressure range are the same under different work modes, so the difference of pressure range would not raise adversely impact on safety and effectiveness.

Note 7

The subject device references more sufficient safety standards than the safety of the safety of the device is verified via tests.

7. Summary for clinical test

Clinical performance is not deemed necessary.

8. Conclusion

The subject device Compression Therapy Device has all features for intended use. Thus, the subject device is substantially equivalent to the predicate devices.

9. Summary Prepared Date

21 Oct. 2019