K Number
K192607
Device Name
LiteWalk
Manufacturer
Date Cleared
2019-12-19

(90 days)

Product Code
Regulation Number
890.5650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LiteWalk is intended for home and hospital use for temporary increase in local blood circulation in the lower extremities and temporary relief of minor muscle aches and pains where applied.
Device Description
The LiteWalk is a pneumatic sequential foot compression device, designed primarily for temporary improvement in blood flow circulation in the lower limb. The system is based on a pneumatic unit that includes a pump, valves, pressure sensor and tubing, and is fed by an external power supply of 12V DC. The unit is connected through 2 sets of 4-tubes to 2 inflatable sandals. Each sandal has 4 inflatable pressure chambers, located to match the foot anatomy: heel, arch, metatarsals, and toes. The sandals come in a pair, for right and left feet, and in 3 sizes: small, medium, large. The operation is based on sequential inflation of the 4 chambers, from heel to toes.
More Information

Not Found

No
The device description details a pneumatic system with a pump, valves, and pressure sensor for sequential inflation. There is no mention of AI, ML, image processing, or data sets for training or testing, which are typical indicators of AI/ML technology in medical devices.

Yes

The device is intended for temporary increase in local blood circulation and temporary relief of minor muscle aches and pains in the lower extremities, which are therapeutic indications.

No

The device description and intended use do not mention any diagnostic capabilities. Its purpose is to provide therapeutic sequential foot compression.

No

The device description explicitly states it includes hardware components such as a pneumatic unit with a pump, valves, pressure sensor, tubing, and inflatable sandals.

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

Here's why:

  • Intended Use: The intended use clearly states that the LiteWalk is for "temporary increase in local blood circulation in the lower extremities and temporary relief of minor muscle aches and pains where applied." This describes a therapeutic or physical therapy device, not a device used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Description: The description details a pneumatic compression device that applies pressure to the feet. This mechanism of action is physical and external, not related to analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing blood, urine, tissue, or any other biological specimen. There is no mention of reagents, assays, or any of the typical components or processes associated with IVD devices.

Therefore, the LiteWalk is a medical device, but it falls under a different category than In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The LiteWalk is intended for home and hospital use for temporary increase in local blood circulation in the lower extremities and temporary relief of minor muscle aches and pains where applied.

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

IRP

Device Description

The LiteWalk is a pneumatic sequential foot compression device, designed primarily for temporary improvement in blood flow circulation in the lower limb. The system is based on a pneumatic unit that includes a pump, valves, pressure sensor and tubing, and is fed by an external power supply of 12V DC.

The unit is connected through 2 sets of 4-tubes to 2 inflatable sandals. Each sandal has 4 inflatable pressure chambers, located to match the foot anatomy: heel, arch, metatarsals, and toes. The sandals come in a pair, for right and left feet, and in 3 sizes: small, medium, large. The operation is based on sequential inflation of the 4 chambers, from heel to toes.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Lower extremities (foot)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Home and hospital 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 LiteWalk device have been thoroughly tested through verification of specifications and validation, including software validation.
No clinical study was conducted to support this application.

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.

PPCID, K000655

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

§ 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).

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December 23, 2019

Image /page/0/Picture/1 description: The image contains the logos of the Department of Health and Human Services (HHS) and the Food and Drug Administration (FDA). The HHS logo is on the left, and the FDA logo is on the right. The FDA logo includes the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue font. The HHS logo is a symbol of an eagle.

Viasonix Ltd. Dan Manor CEO 10 Hamelacha Street Raananna, IL 4366105

Re: K192607 Trade/Device Name: LiteWalk Regulation Number: 21 CFR 890.5650 Regulation Name: Powered inflatable tube massager Regulatory Class: Class II Product Code: IRP Dated: September 16, 2019 Received: September 20, 2019

Dear Dan Manor:

This letter corrects our substantially equivalent letter of December 19, 2019.

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

1

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-devices/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,

Heather L. Dean -S

for: Vivek Pinto, Ph.D. 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) K192607

Device Name LiteWalk

Indications for Use (Describe)

The LiteWalk is intended for home and hospital use for temporary increase in local blood circulation in the lower extremities and temporary relief of minor muscle aches and pains where applied .

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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SECTION 5 - 510(K) SUMMARY

5.1 ADMINISTRATIVE INFORMATION

Date:10-September-2019
Submitter:Viasonix Ltd.
10 Hamelacha Street
Raanana , ISRAEL 4366105
Phone : 972-9-7441692
Official Correspondent:Dan Manor, CEO
Trade Name:LiteWalk
Classification Name:
Classification Number:Powered inflatable tube massager
21 CFR 890.5650
Product Code:
Device Class:IRP
Class II
Predicate Devices:PPCID, K000655

5.2 Device Description

The LiteWalk is a pneumatic sequential foot compression device, designed primarily for temporary improvement in blood flow circulation in the lower limb. The system is based on a pneumatic unit that includes a pump, valves, pressure sensor and tubing, and is fed by an external power supply of 12V DC.

The unit is connected through 2 sets of 4-tubes to 2 inflatable sandals. Each sandal has 4 inflatable pressure chambers, located to match the foot anatomy: heel, arch, metatarsals, and toes. The sandals come in a pair, for right and left feet, and in 3 sizes: small, medium, large. The operation is based on sequential inflation of the 4 chambers, from heel to toes.

5.3 Intended Use and Indications for Use

The LiteWalk is Intended for home and hospital use for temporary increase in local blood circulation in the lower extremities and temporary relief of minor muscle aches and pains where applied

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5.4 CONTRAINDICATIONS

The LiteWalk is not intended for use if any of the following medical conditions exist. Consult with a physician whenever there is doubt whether it is clinically safe to use the LiteWalk.

• Presumptive evidence of congestive heart failure where increase in blood returned to the heart could be detrimental

  • Pre-existing deep vein thrombosis (DVT) or blood clots
  • Existing hemorrhagic disease or coagulation problems
  • Thrombophlebitis
  • Pulmonary embolism

5.5 Summary of Technical Characteristics

The LiteWalk device is similar to the predicate device cited above [section 5.1] intended for powered inflatable tube massager applications.

The technological characteristics, e.g., overall design, materials, mechanism of action, mode of operation, performance characteristics, the intended use, use environment and target patient population of the LiteWalk device is substantially equivalent to the predicate device cited above.

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5.5.1 Summary table of Comparison

SpecificationLiteWalkPPCIDDifferences discussion
510(k) numberProposed DeviceK000655NA
ManufacturerVIASONIX LTD.Medical Dynamics LLCNA
Product Regulation21CFR890.5650 - Powered
inflatable tube massager21CFR890.5650 - Powered
inflatable tube massagerIdentical
Product CodeIRP - Powered inflatable tube
massagerIRP - Powered inflatable tube
massagerIdentical
Indications for useIntended for home and
hospital use for temporary
increase in local blood
circulation in the lower
extremities and temporary
relief of minor muscle aches
and pains where appliedIntended for home and
hospital use for temporary
increase in local blood
circulation in the lower
extremities and temporary
relief of minor muscle aches
and pains where appliedIdentical
ContraindicationsUse of the LiteWalk is
contraindicated in patients
for whom:
• Presumptive evidence of
congestive heart failure
where increase in blood
returned to the heart
could be detrimental
• Pre-existing deep vein
thrombosis (DVT) or
blood clots
• Existing hemorrhagic
disease or coagulation
problems
• Thrombophlebitis
• Pulmonary embolismUse of the PPCID is
contraindicated in patients for
whom an increase in
blood returned to the heart
could be detrimental,
including those with
presumptive evidence of
congestive heart failure, pre-
existing deep vein thrombosis,
thrombophelbitis, existing
hemorrhagic disease,
coagulation problems, or
pulmonary embolismIdentical
Environment
of UseHospital and Home careHospital and Home careIdentical
Rx OR OTCOTCOTCIdentical
Mode of
compressionSequentialSequential
*Not publicly availableSimilar to the predicate
Use Time [min]Recommended 30 min30 min or more
*Not publicly availableSimilar to the predicate
Sequential cycles
time2-3 cycles per minute2-3 cycles per minute
*Not publicly availableSimilar to the predicate
Modes1 mode : Sequential
inflation/deflation of 4
chambers from heel to toes1 mode : Sequential
inflation/deflation of 4
chambers from heel to toes
*Not publicly availableSimilar to the predicate
SpecificationLiteWalkPPCIDDifferences discussion
Max Pressure160 mmHg80-200 mmHg
*Not publicly availableSimilar to the predicate.
Within the predicate pressure range
Types of GarmentsFoot SandalFoot Sandal
*Not publicly availableSimilar to the predicate.
Foot Sandal type is supported by the
predicate device
Garment sizes3 sizes: small, medium, large3 sizes: small, medium, large
*Not publicly availableSimilar to the predicate
Patient contact
materialsPolyester [PVB0123, Colored
Fabric]Not known
*Not publicly availableSimilar to the predicate.
Both sharing a fabric for the Sandals.
LiteWalk Polyester skin contact material
comply with ISO 10993
Patient contactNon conductiveNon conductive
*Not publicly availableSimilar to the predicate
Number of chambers44
*Not publicly availableSimilar to the predicate
Line Voltage /
Frequency100-240 Vac / 50-60Hz
12V , 2.0A115 Vac / 60 Hz, 7W
*Not publicly availableSimilar to the predicate
Power Consumption8 W7W
*Not publicly availableSimilar to the predicate
Safety featurePower button on main unit
allows user to stop therapy
session at any time.Power button on main unit
allows user to stop therapy
session at any time.
*Not publicly availableSimilar to the predicate
User InterfaceNoNo
*Not publicly availableSimilar to the predicate
IndicatorGreen ledLed
*Not publicly availableSimilar to the predicate
TechnologyCompressor and valve system
which sequentially inflates
inflatable chambersCompressor and air distributor
system which sequentially
inflates inflatable chambers
*Not publicly availableBoth sharing the same functionality.
The valve allows better control over
inflation and allows quick deflation.
This slight change doesn't impact
product safety and performance.
StandardsIEC 60601-1
IEC60601-1-2
IEC60601-1-11
ISO 10993-1IEC 60601-1
IEC60601-1-2
ISO 10993-1
*Not publicly availableSimilar to the predicate.
The LiteWalk meets all latest standards
edition

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5.6 UTILIZATION OF STANDARDS AND GUIDANCE'S:

The LiteWalk meets the following standards:

    1. IEC 60601-1:2005+A1:2012 Medical electrical equipment Part 1: General requirements for basic safety and essential performance
    1. IEC 60601-1-2:2014 Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests
    1. IEC 60601-1-11: 2015 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
    1. IEC 62366-1: 2015 Medical devices Part 1: Application of usability engineering to medical devices [Including CORRIGENDUM 1 (2016)]
    1. IEC 60601-1-6: 2013 [Edition 3.1] Medical electrical equipment Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability

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5.7 Summary of Non-Clinical Performance Testing

Summary of Non-Clinical Tests:

The LiteWalk device have been thoroughly tested through verification of specifications and validation, including software validation.

5.8 Summary of Clinical Performance Data

No clinical study was conducted to support this application.

5.9 Conclusions

Based on its underlying technology and bench tests performed, the LiteWalk is substantially equivalent to the predicate device.