K Number
K220524
Device Name
Well-Life Mini TENS Stimulator(WL-23XXC/WL-23XXE Series)
Date Cleared
2022-08-04

(162 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended for temporary relief of pain associated with sore and aching muscles in the upper and lower extremities (arm and/or leg) due to strain from exercise or normal household and work activities.
Device Description
Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) provides a transcutaneous electrical nerve stimulation (TENS) for temporary relief of pain associated with sore and aching muscles due to strain from exercise, normal household chores and work-related activities. The output port transmits the output signal to the electrode, which is attached to the user's skin; with the combination of the Stimulator device parts, the device can be placed on the treatment locations as recommended in the user manual for temporary relief of pain associated with sore and aching muscles in the low back, arthritis as well as upper and lower extremities (arm and/or leg) due to strain from exercise or normal household and work activities. The Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) is design changed from OTC MINI PATCH K121353 (Model WL-2301A/WL-2301B). The main differences between the two are disposable battery change to reusable battery, aside from battery changes, the appearance of the devices is also differnt. Also, minor changes include PCBA component placement changes, frame size changes, and new accessories to improve convenience. The definition of model name: WL is abbreviation of Well-Life Healthcare Limited. 23 is symbol of device series which are wireless, no monitor and operated by buttoning only. XX is the symbol for different program and output electrical signal in this device. The last English alphabet is the symbol of the appearance of this device, For C, it is oval shape and for E, it is round shape. The model of Stimulator device are WL-2301C, WL-2301E, WL-2306C and WL-2306E, which include operating elements, such as the ON/OFF button, intensity increase button, and intensity decrease button, and could be attached and detached to electrodes. The Stimulator device offers several different preset programs, and will switch automatically, with 21 minutes per session and will turn off automatically after each session. The Stimulator device could be operated through its buttons to manually realize its functions, such as turning on/off and increasing/decreasing intensity. The accessories of Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) are electrode which can be patch or garment. 3 models of patches and 5 models of garments are recommended. There are CM7257, CM169100, CM13070 for electrode patch and Well-Life Garment Electrode -Arm (GM-AM-O-X00), Well-Life Garment Electrode -Elbow (GM-EB-O-X00). Well-Life Garment Electrode -Back Strech Belt (EW-BK-00IE), Well-Life Garment Electrode - Wrist (EW-WR-00IE) and Well-Life Garment-Knee (EW-KN-002E). The electrode Pad composed of non-woven fabric, conductive layer and conductive gel, it is connected to the stimulator through buttons or wires, and is in contact with the skin through conductive gel to transmit electrical signal to the skin to achieve therapeutic effects. The Well-Life Garment Electrode series are blending by Non-conductive textile and conductive textile, from the name of the conductive garment the user can identify the applicable body part, and the textile technology is adjusted to make the product fit on the skin. It is connected to the stimulator through buttons or wires, and is in contact with the skin through conductive textile to transmit electrical signal to the skin to achieve therapeutic effects. The Stimulator device can connect to a specified external IEC 60601-1 compliant power supply for charging of the internal lithium-ion battery. The accessories must comply with AAMI/ ANSI/ES60601- 1, IEC 60601-1-2 and IEC 60601-2-10. The accessories include: An external power adaptor, an electrode cord I cable attached to electrodes pads and battery.
More Information

No
The device description focuses on basic electrical stimulation technology, battery changes, physical design differences, and manual button operation. There is no mention of AI, ML, data processing, or any features that would suggest intelligent or adaptive algorithms.

Yes

The device description explicitly states it provides "transcutaneous electrical nerve stimulation (TENS) for temporary relief of pain associated with sore and aching muscles," which indicates a therapeutic purpose.

No

This device is a TENS stimulator intended for pain relief, not for diagnosing medical conditions.

No

The device description clearly details hardware components such as a stimulator device with buttons, electrodes (patches and garments), and an external power adaptor for charging. It also mentions electrical signals and conductive materials, indicating a physical device that delivers electrical stimulation.

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

Here's why:

  • Intended Use: The intended use is for the temporary relief of pain associated with sore and aching muscles. This is a therapeutic purpose, not a diagnostic one.
  • Device Description: The device is a TENS (Transcutaneous Electrical Nerve Stimulation) stimulator. TENS devices deliver electrical impulses to the skin to alleviate pain. This is a physical therapy modality, not a method for analyzing biological samples.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Providing information about a disease or condition based on sample analysis
    • Using reagents or assays

The device's function is to provide electrical stimulation for pain relief, which falls under the category of a therapeutic medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Intended for temporary relief of pain associated with sore and aching muscles in the upper and lower extremities (arm and/or leg) due to strain from exercise or normal household and work activities.

Product codes

NUH

Device Description

Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) provides a transcutaneous electrical nerve stimulation (TENS) for temporary relief of pain associated with sore and aching muscles due to strain from exercise, normal household chores and work-related activities. The output port transmits the output signal to the electrode, which is attached to the user's skin; with the combination of the Stimulator device parts, the device can be placed on the treatment locations as recommended in the user manual for temporary relief of pain associated with sore and aching muscles in the low back, arthritis as well as upper and lower extremities (arm and/or leg) due to strain from exercise or normal household and work activities.

The Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) is design changed from OTC MINI PATCH K121353 (Model WL-2301A/WL-2301B).

The main differences between the two are disposable battery change to reusable battery, aside from battery changes, the appearance of the devices is also differnt. Also, minor changes include PCBA component placement changes, frame size changes, and new accessories to improve convenience.

The definition of model name: WL is abbreviation of Well-Life Healthcare Limited. 23 is symbol of device series which are wireless, no monitor and operated by buttoning only. XX is the symbol for different program and output electrical signal in this device. The last English alphabet is the symbol of the appearance of this device, For C, it is oval shape and for E, it is round shape. The model of Stimulator device are WL-2301C, WL-2301E, WL-2306C and WL-2306E, which include operating elements, such as the ON/OFF button, intensity increase button, and intensity decrease button, and could be attached and detached to electrodes. The Stimulator device offers several different preset programs, and will switch automatically, with 21 minutes per session and will turn off automatically after each session. The Stimulator device could be operated through its buttons to manually realize its functions, such as turning on/off and increasing/decreasing intensity.

The accessories of Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) are electrode which can be patch or garment. 3 models of patches and 5 models of garments are recommended. There are CM7257, CM169100, CM13070 for electrode patch and Well-Life Garment Electrode -Arm (GM-AM-O-X00), Well-Life Garment Electrode -Elbow (GM-EB-O-X00). Well-Life Garment Electrode -Back Strech Belt (EW-BK-00IE), Well-Life Garment Electrode - Wrist (EW-WR-00IE) and Well-Life Garment-Knee (EW-KN-002E).

The electrode Pad composed of non-woven fabric, conductive layer and conductive gel, it is connected to the stimulator through buttons or wires, and is in contact with the skin through conductive gel to transmit electrical signal to the skin to achieve therapeutic effects.

The Well-Life Garment Electrode series are blending by Non-conductive textile and conductive textile, from the name of the conductive garment the user can identify the applicable body part, and the textile technology is adjusted to make the product fit on the skin. It is connected to the stimulator through buttons or wires, and is in contact with the skin through conductive textile to transmit electrical signal to the skin to achieve therapeutic effects.

The Stimulator device can connect to a specified external IEC 60601-1 compliant power supply for charging of the internal lithium-ion battery. The accessories must comply with AAMI/ ANSI/ES60601- 1, IEC 60601-1-2 and IEC 60601-2-10. The accessories include: An external power adaptor, an electrode cord I cable attached to electrodes pads and battery.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper and lower extremities (arm and/or leg), low back, arthritis

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

No clinical testing was conducted for this device.

Description of the test set, sample size, data source, and annotation protocol

No clinical testing was conducted for this device.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

No clinical testing was conducted for this device.
Non-Clinical Testing Summary:
The following non-clinical testing was conducted in the subject devices. Those tests showed that the device met all design specifications, demonstrated safety based on current industry standards:

  1. Biocompatibility Patient contacting components are in compliance with ISO 10993-1 Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process, including cytotoxicity (ISO 10993-5 Third Edition 2009-06-01), sensitization (ISO 10993-10 Third Edition 2010-08-01).
  2. EMC and Electrical Safety was performed to verify the electrical specifications of the proposed device and included the following:
  • IEC 60601-1:2005, MOD Medical electrical equipment- Part 1: General requirements for basic safety and essential performance
  • 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
  • IEC 60601-1-11 Edition 2.0 2015-01, 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
  • IEC 62133 Edition 2.0 2012-12, 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 [Including: Corrigendum 1 (2013)]
  1. Performance Testing Bench testing was performed to verify the performance to specifications of the proposed device and included the following:
  • Particular requirements for the basic safety and essential performance of nerve and muscle stimulators (IEC 60601-2-10 Edition 2.1 2016-04)
  • Transcutaneous Electrical Nerve Stimulators 2013(R)2017 (ANSI AAMI NS4:2013(R)2017)
  • Medical electrical equipment Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability (IEC 60601- 1-6 Edition 3.1 2013-10) and Medical devices - Part 1: Application of usability engineering to medical devices (IEC 62366-1 Edition 1.0 2015-02)

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

Not Found

Predicate Device(s)

K121353

Reference Device(s)

K133723

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).

0

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 and Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

August 4, 2022

Well-Life Healthcare Limited Jenny Hsieh 6F., No.168, Lide St., Jhonghe District New Taipei City, 23512 Taiwan

Re: K220524

Trade/Device Name: Well-Life Mini TENS Stimulator(WL-23XXC/WL-23XXE Series) Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous Electrical Nerve Stimulator For Pain Relief Regulatory Class: Class II Product Code: NUH Dated: April 28, 2022 Received: May 6, 2022

Dear Jenny Hsieh:

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 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

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K220524

Device Name

Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) Model:WL-2301C/ WL-2301E/ WL-2306C/ WL-2306E

Indications for Use (Describe)

Intended for temporary relief of pain associated with sore and aching muscles in the upper and lower extremities (arm and/or leg) due to strain from exercise or normal household and work activities.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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3

Image /page/3/Picture/0 description: The image shows the logo for Well-Life, a company that sells healthcare products. The logo features a yellow butterfly with the words "well-life" in green letters on top of the butterfly. Below the company name is the text "SMARTER HEALTHCARE PRODUCTS FOR BETTER LIVING" in smaller, blue letters. The logo is simple and eye-catching, and it conveys the company's focus on health and well-being.

510(K) Summary

1. Type of Submission:Traditional
2. Preparation date:28th April, 2022
3. Submitter:Well-Life Healthcare Ltd.
Address:6F. No.168, Lide St., Jhonghe District
New Taipei City, 23512, Taiwan
Phone:+886-2-22266981
Fax:+886-2-22266965
Contact:Jenny Hsieh
(jenny@welllifehealthcare.com.tw)
Registration number:3006850006

4. Identification of the subject device:

510K No. (Applying) Trade/Device Name: Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) Model: WL-2301C/WL-2301E/WL-2306C/WL-2306E Regulation Number: 21 CFR 882.5890 Transcutaneous Electrical Nerve Stimulator for Pain Regulation Name: Relief Regulatory Class: Class II Product Code: NUH

4

Image /page/4/Picture/0 description: The image shows a logo for "well-life" with the tagline "SMARTER HEALTHCARE PRODUCTS FOR BETTER LIVING." The logo features a stylized butterfly shape in yellow, with the text integrated into the design. The word "well-life" is written in a stylized font, with the tagline appearing in smaller letters beneath it.

  1. Identification of the Predicate

Primary Predicate:

The OTC MINI PATCH K121353 (Model WL-2301A/WL-2301B) by Well-Life Healthcare Ltd. which has been cleared by Food and Drug Administration. The Subject Device is designed based on this product, so the specifications and parameters of electrical stimulation are substantial equivalent. The following is the basic information of the product.

510K No.K121353
Trade/Device Name:OTC MINI PATCH K121353
Model:WL-2301A/WL-2301B
Regulation Number:21 CFR 882.5890
Regulation Name:Transcutaneous Electrical Nerve Stimulator for Pain Relief
Regulatory Class:Class II
Product Code:NUH

Secondary Predicate Device

The OTC PATCH K133723 (Model WL-2406) by Well-Life Healthcare Ltd. which has been cleared by Food and Drug Administration.

The Output Mode (Out Put Signal) of subject device WL-2306C and WL-2306E were reference from The OTC PATCH K133723 (Model WL-2406) so the output mode of electrical stimulation is substantial equivalent. The following is the basic information of the product.

510K No. K133723

Trade/Device Name: OTC PATCH

Model: WL-2406

Regulation Number: 21 CFR 882.5890

Regulation Name: Transcutaneous Electrical Nerve Stimulator for Pain

5

Image /page/5/Picture/0 description: The image shows a logo for a company called "well-life". The logo features a yellow butterfly with the company name in blue text. Below the company name is the tagline "SMARTER HEALTHCARE PRODUCTS FOR BETTER LIVING" in smaller, also blue, text. The overall design is simple and clean, with a focus on the butterfly as a symbol of transformation and well-being.

Well-I ife Healthcare I imited

Well-Life Healthcare Limited

Relief
Regulatory Class:Class II
Product Code:NUH

6. Intended Use and Indications for use of the Subject Device:

Intended for temporary relief of pain Same associated with sore and aching muscles in the upper and lower extremities (arm and/or leg) due to strain from exercise or normal household and work activities.

7. Description of the Device:

Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) provides a transcutaneous electrical nerve stimulation (TENS) for temporary relief of pain associated with sore and aching muscles due to strain from exercise, normal household chores and work-related activities. The output port transmits the output signal to the electrode, which is attached to the user's skin; with the combination of the Stimulator device parts, the device can be placed on the treatment locations as recommended in the user manual for temporary relief of pain associated with sore and aching muscles in the low back, arthritis as well as upper and lower extremities (arm and/or leg) due to strain from exercise or normal household and work activities.

The Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) is design changed from OTC MINI PATCH K121353 (Model WL-2301A/WL-2301B).

The main differences between the two are disposable battery change to reusable battery, aside from battery changes, the appearance of the devices is also differnt. Also, minor changes include PCBA component placement changes, frame size changes, and new accessories to improve convenience.

The definition of model name: WL is abbreviation of Well-Life Healthcare Limited. 23 is symbol of device series which are wireless, no monitor and operated by buttoning only. XX is the symbol for different program and output electrical signal in this device. The last English alphabet is the symbol of the appearance of this device, For C, it is oval shape and for E, it is round shape. The model of Stimulator device are WL-2301C, WL-2301E, WL-2306C and WL-2306E, which include operating elements, such as the ON/OFF button, intensity increase button, and intensity decrease button, and could be attached and detached to electrodes. The Stimulator device offers several different preset programs, and will switch automatically, with 21 minutes per session and will turn off automatically after each session. The Stimulator device could be operated through its buttons to manually realize its functions, such as turning on/off and increasing/decreasing intensity.

6

Image /page/6/Picture/0 description: The image shows the logo for Well-Life, a company that produces healthcare products. The logo features a yellow butterfly with the words "well-life" in blue text above the butterfly. Below the butterfly, the words "Smarter Healthcare Products for Better Living" are written in smaller, red text. The logo is simple and clean, and the colors are bright and cheerful.

The accessories of Well-Life Mini TENS Stimulator (WL-23XXC/WL-23XXE Series) are electrode which can be patch or garment. 3 models of patches and 5 models of garments are recommended. There are CM7257, CM169100, CM13070 for electrode patch and Well-Life Garment Electrode -Arm (GM-AM-O-X00), Well-Life Garment Electrode -Elbow (GM-EB-O-X00). Well-Life Garment Electrode -Back Strech Belt (EW-BK-00IE), Well-Life Garment Electrode - Wrist (EW-WR-00IE) and Well-Life Garment-Knee (EW-KN-002E).

The electrode Pad composed of non-woven fabric, conductive layer and conductive gel, it is connected to the stimulator through buttons or wires, and is in contact with the skin through conductive gel to transmit electrical signal to the skin to achieve therapeutic effects.

The Well-Life Garment Electrode series are blending by Non-conductive textile and conductive textile, from the name of the conductive garment the user can identify the applicable body part, and the textile technology is adjusted to make the product fit on the skin. It is connected to the stimulator through buttons or wires, and is in contact with the skin through conductive textile to transmit electrical signal to the skin to achieve therapeutic effects.

The Stimulator device can connect to a specified external IEC 60601-1 compliant power supply for charging of the internal lithium-ion battery. The accessories must comply with AAMI/ ANSI/ES60601- 1, IEC 60601-1-2 and IEC 60601-2-10. The accessories include: An external power adaptor, an electrode cord I cable attached to electrodes pads and battery.

8. Statement of conformity

List of FDA-recognized voluntary consensus standards cited in this submission.

| Recognition
Number | Standard
Designation
Number and
Date | Title Of Standard | Date Of
Recognition |
|-----------------------|-----------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------|
| 5-89 | IEC 60601-1-6
Edition 3.1
2013-10 | Medical electrical equipment - Part 1-6: General
requirements for basic safety and essential performance -
Collateral standard: Usability | 06/27/2016 |
| 5-114 | IEC 62366-1
Edition 1.0
2015-02 | Medical devices - Part 1: Application of usability
engineering to medical devices | 12/23/2016 |
| 2-258 | ISO 10993-1
Fifth Edition
2018-08 | Biological evaluation of medical devices - Part 1: Evaluation
and testing within a risk management process | 01/14/2019 |
| 2-245 | ISO 10993-5
Third Edition
2009-06-01 | Biological evaluation of medical devices - Part 5: Tests for
in vitro cytotoxicity | 02/23/2016 |
| 2-174 | ISO 10993-10
Third Edition | Biological evaluation of medical devices - Part 10: Tests for
irritation and skin sensitization | 07/26/2016 |
| | | | |
| 19-4 | 2010-08-01
IEC 60601-
1:2005, MOD | Medical electrical equipment- Part 1: General requirements
for basic safety and essential performance | 07/09/2014 |
| 19-8 | 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 | 09/17/2018 |
| 19-14 | IEC 60601-1-
11
Edition 2.0
2015-01 | 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 | 06/27/2016 |
| 17-16 | IEC 60601-2-
10
Edition 2.1
2016-04 | Medical electrical equipment - Part 2-10: Particular
requirements for the basic safety and essential performance
of nerve and muscle stimulators | 06/27/2016 |
| 19-13 | IEC 62133
Edition
2.0 2012-12 | 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
[Including: Corrigendum 1
(2013)] | 12/23/2019 |
| 5-125 | ISO 14971
Third
Edition
2019-12 | Medical devices - Application
of risk management to medical devices | 12/23/2019 |
| 17-14 | ANSI/AAMI
I
NS4:2013(R)2
017 | Transcutaneous Electrical Nerve Stimulators
2013(R)2017 | 01/14/2019 |
| | FDA
guidance, | General Principle of Software Validation; Final Guidance for
Industry and FDA Staff" | January
11,
2002. |

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Image /page/7/Picture/0 description: The image shows the logo for Well-Life. The logo features a yellow butterfly with the words "well-life" in a sans-serif font superimposed on the butterfly's wings. Below the company name is the tagline "SMARTER HEALTHCARE PRODUCTS FOR BETTER LIVING" in a smaller font.

8

Image /page/8/Picture/0 description: The image shows the logo for Well-Life, a company that produces healthcare products. The logo features a yellow butterfly with the words "well-life" written in blue on top of the butterfly. Below the company name is the tagline "SMARTER HEALTHCARE PRODUCTS FOR BETTER LIVING" in smaller, blue font. The logo is simple and eye-catching, and it conveys the company's focus on health and well-being.

9. Clinical Testing Summary:

No clinical testing was conducted for this device.

10. Non-Clinical Testing Summary:

The following non-clinical testing was conducted in the subject devices. Those tests showed that the device met all design specifications, demonstrated safety based on current industry standards:

    1. Biocompatibility Patient contacting components are in compliance with ISO 10993-1 Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process, including cytotoxicity (ISO 10993-5 Third Edition 2009-06-01), sensitization (ISO 10993-10 Third Edition 2010-08-01),
    1. EMC and Electrical Safety was performed to verify the electrical specifications of the proposed device and included the following:
  • · IEC 60601-1:2005, MOD Medical electrical equipment- Part 1: General requirements for basic safety and essential performance
  • · 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
  • · IEC 60601-1-11 Edition 2.0 2015-01, 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
  • · IEC 62133 Edition 2.0 2012-12, 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 [Including: Corrigendum 1 (2013)]
    1. Performance Testing Bench testing was performed to verify the performance to specifications of the proposed device and included the following:
  • Particular requirements for the basic safety and essential performance of nerve and muscle stimulators (IEC 60601-2-10 Edition 2.1 2016-04)
  • Transcutaneous Electrical Nerve Stimulators 2013(R)2017 (ANSI AAMI NS4:2013(R)2017)
  • • Medical electrical equipment Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability (IEC 60601- 1-6 Edition 3.1 2013-10) and Medical devices - Part 1: Application of usability engineering to medical devices (IEC 62366-1 Edition 1.0 2015-02)

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10. Substantial Equivalence Determination:

10.1 Substantial Equivalence Comparison to Predicate/ Original Device (Regular Specification)

Primary Predicate DeviceSubject Device
Device NameOTC MINI PATCH
Model: WL-2301AWell-Life Mini TENS
Model: WL-23XXC/WL-23XXE Series--
510(K) NumberK121353Applying--
Regulation Number882.5890882.5890Same
Product CodeNUHNUHSame
OTC/RxOTCOTCSame
Indication for useIntended for temporary relief of pain Same
associated with sore and aching muscles in the
upper and lower extremities (arm and/or leg) due
to strain from exercise or normal household and
work activities.Intended for temporary relief of pain Same
associated with sore and aching muscles in the
upper and lower extremities (arm and/or leg) due
to strain from exercise or normal household and
work activities.Same
Power Source(s)3V (CR2032)Rechargeable Li-BatteryNote1
-Method of Line current IsolationType BFType BFSame
-Patient Leakage Current--------
-Normal condition(μA)Under 0.1Under 0.1Same
-single Fault condition(μA)Under 0.5Under 0.5Same
Average DC current through electrodesNot applicableNot applicableSame
when device is on but no pulses are
being applied(μA)
Number of OutputSynchronous
orSynchronousSynchronousSame
channels:alternating?
Method of
Channel IsolationOutput Coil
VoltageOutput Coil
VoltageSame
Regulated Current or Regulated
Voltage?Same
Software/Firmware/Microprocessor
control?YesYesSame
Automatic Overload Trip?NoNoSame
Automatic No-Load Trip?YesYesSame
Automatic Shut Off?YesYesSame
User Override control?NoNoSame
IndicatorOn/Off Status?YesYesSame
Display:Low Battery?YesYesSame
Voltage/Current
Level?YesYesSame
Timer Range (Minutes)2020Same
Compliancewith Voluntary
Standards?ES60601-1, IEC60601-1-2, IEC60601-2-10,
IEC 60601-1-11ES60601-1, IEC60601-1-2, IEC60601-2-10,
IEC 60601-1-11Same
Compliance with 21 CFR 898?YesYesSame
Weight(g) including battery14.2g23.8g--
Dimensions (mm.) [L x W x H]593013.0 mm (LWH)WL-2301C/2306C: 644116.7 mm (LWH)
WL-2301/2306E: 564915.9 mm (LWH)--
Housing Materials and constructionABSABSSame

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10.2 Substantial Equivalence Comparison to Predicate/ Original Device (Output Signal Specification)

PrimarySubject DeviceSecond Predicate
K121353K133723
Model NumberWL-2301AWL-2301C/E, WL-2306C/EWL-2406
Waveform (e.g., pulsed monophasic, biphasic)Bia-phasic
Number of Output ModesWL-2301A: 3WL-2301C/E:3WL-2406:8Same as
primary
WL-2306C/E:8See 2.3
Note.2
Same as Ref.
ShapeRectangular (With deformation on the top of each pulse)Same as
primary
Maximum Output Voltage(volts)
(+/- 20%)30V@500Ω
50V@2KΩ
80V@10KΩWL-2301C/E
30V@500Ω
50V@2KΩ
80V@10KΩWL-2306C/E
30V@500Ω
50V@2KΩ
80V@10KΩ25V@500Ω
45V@2KΩ
75V@10KΩSame as
primary
Maximum Output Current(mA)
(+/-_20%)60mA@500Ω
25mA@2KΩ
8mA@10KΩWL-2301C/E
60mA@500Ω
25mA@2KΩ
8mA@10KΩWL-2306C/E
60mA@500Ω
25mA@2KΩ
8mA@10KΩ50mA@500Ω
22.5mA@2KΩ
7.5mA@10KΩSame as
primary
Pulse Duration(usec)WL-2301A:
250MAXWL-2301C/E:250
WL-2306C/E:260WL-2406:
260MAXSame as
primary
See 2.3

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Note.2
Frequency (Hz) [or Rate (pps)]WL-2301A: 60
MAXWL-2301C/E:60WL-2406:120
MAXSame as
primary
See 2.3
Note.2
WL-2306C/E:120
For multiphasic
waveforms only:Symmetrical phases?NoNoNoSame as
primary
Phase Duration (include
units), (Stage range, if
applicable), (both phases
if asymmetrical)N/AN/AN/ASame as
primary
Accessories or consumablesK082065/
CM7257
K082065/
CM169100K082065/ CM7257
K082065/CM169100
K082065/ CM13070
K200942/Garment Electrode EB
K200942/Garment Electrode AM
Exclusive accessories Back Belt
Exclusive accessories Knee Belt
Exclusive accessories Wrist BeltK082065/
CM7257
K082065/
CM169100Note3

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| | Predicate/ Original
Device (WL-2301A) | Subject device
(WL-2301C / WL-
2301E) | Subject device
(WL-2306C / WL-
2306E) |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------|---------------------------------------------|---------------------------------------------|
| Maximum output charge per pulse (uC) | | 15 | 15.6 |
| Maximum average current (mA) | | 0.9 | 1.87 |
| Maximum output power (W) | | 0.027 | 0.056 |
| K082065/ CM7257 | Max Current Density (mA/cm²) | 0.0549 | 0.1140 |
| K082065/ CM169100 | Max Power Density (W/cm²) | 0.0016 | 0.0003 |
| | Max Current Density (mA/cm²) | 0.0281 | 0.0584 |
| K082065/ CM13070 | Max Power Density (W/cm²) | 0.0008 | 0.0002 |
| | Max Current Density (mA/cm²) | not applicable | 0.0584 |
| | Max Power Density (W/cm²) | not applicable | 0.0002 |
| K200942/Garment
Electrode EB | Max Current Density (mA/cm²) | not applicable | 0.0733 |
| | Max Power Density (W/cm²) | not applicable | 0.0002 |
| K200942/Garment
Electrode AM | Max Current Density (mA/cm²) | not applicable | 0.0479 |
| | Max Power Density (W/cm²) | not applicable | 0.0001 |
| Exclusive accessories
Back Belt | Max Current Density (mA/cm²) | not applicable | 0.0748 |
| | Max Power Density (W/cm²) | not applicable | 0.0002 |
| Exclusive accessories
Knee Belt | Max Current Density (mA/cm²) | not applicable | 0.0479 |
| | Max Power Density (W/cm²) | not applicable | 0.0001 |
| Exclusive accessories
Wrist Belt | Max Current Density (mA/cm²) | not applicable | 0.1247 |
| | Max Power Density (W/cm²) | not applicable | 0.0004 |
| The device and accessories are developed base on "IEC60601-2-10" and "ANSI AAMI NS4:2013(R)2017 Transcutaneous Electric
Nerve Stimulators". The standard of "Maximum Average Current Density