K Number
K213741
Date Cleared
2022-03-08

(99 days)

Product Code
Regulation Number
882.5890
Panel
PM
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

TENS: The device is designed to be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back, neck, upper extremities (arm), lower extremities (leg), abdomen and bottom due to strain from exercise or normal household work activities. EMS: The device is designed to be used to stimulate healthy muscles in order to improve or facilitate muscle performance.

Device Description

The device of the model FM-B2403A is a portable, battery powered (lithium battery 3.7V DC) multifunction device offering both Transcutaneous Electrical Nerve Stimulator (TENS) and Powered Muscle Stimulator (EMS) qualities in one device, it can be used for arm, shoulder, neck, back, waist, abdomen, and leg. 4 channels that effectively transfer your desired choice of programmed electrical pulses directly through electrode adhesive pads to the suggested area of the body where the electrodes are placed, causing minimal muscle contractions. There are 24 modes of operations.

AI/ML Overview

Here's a breakdown of the acceptance criteria and the study information based on the provided FDA 510(k) summary for the TENS & EMS Device (Model: FM-B2403A):

Please note: This document is a 510(k) summary focused on demonstrating substantial equivalence to a predicate device, not a typical clinical trial report for an AI-powered diagnostic/treatment device. Therefore, many of the typical questions regarding AI device performance studies (like test set provenance, expert qualifications, MRMC studies, standalone performance, training set details) are not applicable or explicitly stated in this type of submission. The "acceptance criteria" here refer to regulatory standards and comparative technical specifications, not predictive performance metrics.


Acceptance Criteria and Reported Device Performance

Acceptance Criteria CategorySpecific Criteria/StandardPredicate Device Performance (FM-B2403)Proposed Device Performance (FM-B2403A)Meets Criteria?
Regulatory InformationRegulation Numbers: 882.5890, 890.5850882.5890, 890.5850882.5890, 890.5850Yes (SE)
Classification: Class IIClass IIClass IIYes (SE)
Product Code: NUH, NGXNUH, NGXNUH, NGXYes (SE)
Panel: Physical Medicine; NeurologyPhysical Medicine; NeurologyPhysical Medicine; NeurologyYes (SE)
OTC/RX: OTCOTCOTCYes (SE)
Intended UseTENS: Temporary relief of pain associated with sore and aching muscles (specified body parts)SameSameYes (SE)
EMS: Stimulate healthy muscles to improve/facilitate muscle performanceSameSameYes (SE)
Physical Characteristics & SafetyApply parts of the bodyShoulder, waist, back, neck, upper/lower extremities, abdomen, bottomShoulder, waist, back, neck, upper/lower extremities, abdomen, bottomYes (SE)
Power SourceBuilt-in 3.7V lithium batteryBuilt-in 3.7V lithium batteryYes (SE)
Method of Line Current IsolationBFBFYes (SE)
Patient Leakage Current - Normal Condition

§ 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).