K Number
K221092
Date Cleared
2022-09-13

(153 days)

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

To be used for temporary relief of pain associated with sore and aching muscles in the back of neck, due to strain from exercise or normal household and work activities.

  • Neck Pad is used in back of neck.
Device Description

The subject device is intended to use on back of neck and it designed accord with human body cervical physiological curvature of streamlined ring design. It is a body-worn and home-use device. It uses low-frequency electronic therapy and designed to temporary relief of pain associated with sore and aching muscles in the back of neck. It only has one model: ST-304.
The trade name of the subject device is Transcutaneous electrical nerve stimulator.
The Transcutaneous electrical nerve stimulator (model: ST-304) consists of a main unit and Type C-USB charging cable. The main unit consists of shell, lithium battery (only 1pcs), neck electrodes pads (a pair of fixed neck electrodes pads), lower shell connector and control buttons and silicone pads. There are two fixed neck electrodes pads on the main unit. The material of neck electrodes pads is titanium material (Gr.2). There are only 1 pcs lithium battery in-build in main unit. The model of lithium battery is KRL 103040.
The neck electrodes pads (a pair of fixed neck electrodes pads) are a kind of Titanium material, and the detail content as following description and as the classify of ASTM F67 2017 it is under Gr2.
The Transcutaneous electrical nerve stimulator (model: ST-304) power supply is 3.7V DC using built-in lithium battery(1200mAh). The built-in lithium battery can be recharged. But the power adapter (Input: 100-240V~, 50/60Hz,0.7A, Output: 5V== 1000mA) is not the parts of the subject device so it shall be supplied by the user. There are two fixed neck electrodes pads on the main unit. The material of neck electrodes pads is Titanium material (Gr.2).
The Transcutaneous electrical nerve stimulator (model: ST-304) totally has 3 modes. The stimulation has 2 modes for stimulating and 15 output Intensity Levels for each mode, so the device can give certain electrical pulse through the neck electrodes pads on the intact skin of back neck to help users to temporary relief of pain. The heating only has 1 mode for heating and it can also provide a constant temperature of 32℃ to 38℃ to provide a warming sensation. The stimulation function and heating function can be used separately or simultaneously. The neck electrodes pads provide users with back of neck stimulation and heat to warm and comfort the muscles of the back of neck.
The main unit provides access to adjust the intensity up or down and adjust stimulating mode, put ON/OFF the main unit and heating function.
The Intensity level of electrical stimulation and heating function are easily controlled by the end user using manual, push-button controls. The push-button controls are consisted of four button which are Switch on/off button/mode switch button, heating button, Intensity increase button and Intensity decrease button.
The default stimulation time is 10 minutes, and the user cannot adjust but could turn off the device during working condition.
Transcutaneous electrical nerve stimulator (model: ST-304) has 2 types stimulation modes: Mode 1, Mode 2.
Before use the device to wipe the Electro Therapy Conductive Gel on the Neck Electrode Pads. But the Electro Therapy Conductive Gel is not the part of subject device so it shall be supplied by the user.
Principle of operation:
The Transcutaneous electrical nerve stimulator (model: ST-304) sends low-voltage electrical pulses to specific nerves via two fixed neck electrodes pads applied on the intact skin of back of neck and powered by rechargeable lithium battery. The purpose is to temporarily relieve pain. By adjusting the output voltage and frequency to produce the low-voltage electrical pulses and achieve the effect of electrotherapy. Voltage regulation is realized by the Boost Converter circuit, which controls the voltage amplitude by modifying the PWM control circuit. After that, the voltage is released to the electrode through the analog circuit, and the time change of the output voltage is controlled by modifying the PWM frequency to achieve the specific electrotherapy effect.

AI/ML Overview

The provided text is a 510(k) summary for a Transcutaneous Electrical Nerve Stimulator (TENS) device. This type of regulatory submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving the device meets specific acceptance criteria through a clinical study.

Therefore, the document does not contain the information requested regarding:

  • Acceptance criteria in the context of a clinical study or specific performance metrics for the device's intended use.
  • A study that proves the device meets acceptance criteria. No clinical performance study is described.
  • Sample size for test sets or training sets.
  • Data provenance (country of origin, retrospective/prospective).
  • Number of experts used to establish ground truth or their qualifications.
  • Adjudication method.
  • Multi-reader multi-case (MRMC) comparative effectiveness study or its effect size.
  • Standalone algorithm performance.
  • Type of ground truth used.
  • How ground truth for the training set was established.

Instead, the document details non-clinical testing performed to demonstrate that the device is as safe and effective as its predicate devices, based on compliance with recognized consensus standards.

However, I can extract information related to the device's technical specifications and how they compare to predicate devices, which implicitly serves as the "acceptance criteria" and "device performance" for the substantial equivalence claim.


1. Table of Acceptance Criteria (Implicit for Substantial Equivalence) and Reported Device Performance:

The "acceptance criteria" for this 510(k) submission are implicitly defined by the technical specifications of the predicate devices. The "reported device performance" refers to the subject device's technical specifications. The discussion of differences (D1-D17) explains why these differences do not raise new questions of safety or effectiveness.

CharacteristicPredicate Device Standard (Implicit Acceptance Criteria)Subject Device Performance (Transcutaneous Electrical Nerve Stimulator, model ST-304)
Safety and EMC Standards ComplianceCompliance with ANSI AAMI ES60601-1, ANSI AAMI IEC 60601-1-2, ANSI AAMI HA 60601-1-11, IEC 60601-2-10, IEC 62304. ISO 10993-5, ISO 10993-10, ISO 10993-1.Compliant. The subject device has demonstrated compliance with all listed safety and EMC standards through testing. (Sections 7, D1, D2, D4, D8, D11, D12, D13, D14, D15, D16, D17)
Intended Use & Indications for UseTemporary relief of pain associated with sore and aching muscles in the back of neck.Same. "To be used for temporary relief of pain associated with sore and aching muscles in the back of neck, due to strain from exercise or normal household and work activities. - Neck electrodes Pads is used in back of neck." (Section 5, Table row "Intended Use & Indications for Use")
Power Source - Main Unit3.7Vdc, lithium battery (2200mAh for Predicate 1, 500mAh for Predicate 2).3.7Vdc, 1200mAh Rechargeable lithium battery. Different capacity (D1).
Patient Leakage Current (Normal Condition)AC: 23.3 µA (Predicate 1), 54.5 µA (Predicate 2); DC: ≤ 1 µA (Predicate 1), 0.5 µA (Predicate 2).Different, but compliant. Electrical safety demonstrated by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. (D2)
Output Intensity Level - StimulatingPredicate 1: 50; Predicate 2: 50.15 levels. (D3)
Heating TemperaturePredicate 1: 30-40°C; Predicate 2: NA.32-38°C. Within the range of Predicate 1. (D3, D4)
Timer Range5-30 minutes.10 minutes. Covered by the range of predicate devices. (D5)
Maximum Output VoltageMode 1: 44V @ 500 Ω, 80V @ 2 kΩ, 112V @ 10 kΩ. Mode 2 (Predicate equivalent): Similar to Mode 1.Mode 1: 44V @ 500 Ω, 80V @ 2 kΩ, 112V @ 10 kΩ. Mode 2: 42V @ 500 Ω, 78V @ 2 kΩ, 105V @ 10 kΩ. Small difference for Mode 2 but deemed safe and effective. (D9)
Maximum Output CurrentMode 1: 88mA @ 500 Ω, 40mA @ 2 kΩ, 11.2mA @ 10 kΩ. Mode 2 (Predicate equivalent): Similar to Mode 1.Mode 1: 88mA @ 500 Ω, 40mA @ 2 kΩ, 11.2mA @ 10 KΩ. Mode 2: 84mA @ 500 Ω, 39mA @ 2 KΩ, 10.5mA @ 10 KΩ. Small difference for Mode 2 but deemed safe and effective. (D10)
Maximum Phase Charge (μC)Predicate 1: 10.56 µC @ 500Ω; Predicate 2: 12.78 µC @ 500Ω.Mode 1: 10.3µC @ 500Ω. Mode 2: 9.6µC @ 500Ω. Small differences acceptable and deemed safe and effective. (D11)
Maximum Current Density (mA/cm² r.m.s.) @ 500ΩPredicate 1: 0.0326 mA/cm²; Predicate 2: 0.235 mA/cm².Mode 1: 2.2mA/cm². Mode 2: 2.2mA/cm². Difference noted but deemed safe and effective. (D12)
Maximum Average Power Density (mW/cm²) @ 500ΩPredicate 1: 0.0000266mW/cm²; Predicate 2: 1.38 mW/cm².Mode 1: 0.36mW/cm². Mode 2: 0.32mW/cm². Difference noted (between predicates) but less than 0.25 Watts/cm² and deemed safe and effective. (D13)

Since this is a 510(k) submission, the device's acceptance is based on demonstrating "substantial equivalence" to predicate devices, primarily through non-clinical testing and comparison of technical characteristics, not through clinical trials demonstrating specific performance criteria against a disease outcome.

Summary of Missing Information (as per your request, not present in the document):

  1. Sample size for the test set and the data provenance: Not applicable, as no clinical test set is described.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable.
  3. Adjudication method for the test set: Not applicable.
  4. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This is not an AI/imaging diagnostic device.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable, as no clinical ground truth is established for efficacy.
  7. The sample size for the training set: Not applicable.
  8. How the ground truth for the training set was established: Not applicable.

The "study that proves the device meets the acceptance criteria" in this context refers to the non-clinical testing for electrical safety, EMC, biocompatibility, and software verification, as listed in Section 7. This testing demonstrates that despite minor technical differences, the device is as safe and effective as the predicate devices for its intended use.

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September 13, 2022

Shenzhen Future Electronic Co., Ltd % You Yijie Manager Oimmig Medical Consulting Service Co., Ltd RM. 1711, Building K, No. 101 Science Ave International Creative Valley Guangzhou, Guangdong 510663 China

Re: K221092

Trade/Device Name: Transcutaneous Electrical Nerve Stimulator Model: ST-304 Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous electrical nerve stimulator for pain relief Regulatory Class: Class II Product Code: NUH Dated: August 12, 2022 Received: August 12, 2022

Dear You Yijie:

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

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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 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,

Pamela D. Scott Assistant Director DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known)

K221092 Device Name

Transcutaneous Electrical Nerve Stimulator Model: ST-304

Indications for Use (Describe)

To be used for temporary relief of pain associated with sore and aching muscles in the back of neck, due to strain from exercise or normal household and work activities.

  • Neck Pad is used in back of neck.

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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510(k) Summary

1. Submitter's Information

Establishment Registration Information

Name: SHENZHEN FUTURE ELECTRONIC CO.,LTD Address: Bldg B. Qiangchengda Industrial Park, No. 30, Youtian Road, Longgang SHENZHEN Guangdong, CN 518116 Registration Number: 3014344342

Contact Person of applicant

Name: Zhao Qihong Address: Bldg B. Qiangchengda Industrial Park, No. 30, Youtian Road, Longgang SHENZHEN Guangdong, CN 518116 TEL: +86-134 1094 7296 FAX: +86-134 1094 7296 Email: zhaoqihong@futuresz.com.cn

Contact Person of the Submission:

Name: Yijie You Address: RM.1711, Building K, No.101 Science Ave International Creative Valley Development Zone, Guangzhou China TEL: +86 020-8224 5821 FAX: +86 020-8224 5821 Email: Jet.you@qimmiq-med.com

Date prepared: Mar. 4, 2022

2. Device Information

Trade Name:Transcutaneousstimulatorelectricalnerve
Model:ST-304
Regulation name:Stimulator, Nerve, Transcutaneous, Over-The-Counter
Review Panel:Neurology
Product Code:NUH
Regulation Class:II
Regulation Number:21CFR 882.5890

3. Predicate Device Information

Primary Predicate Device

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510(k) submitter/holder:Shenzhen OSTO Technology Company Limited
510(K) Number:K210756
Trade Name:Neck Care Therapy
Model:AST-905H
Classification name:Stimulator, Nerve, Transcutaneous, Over-The-Counter
Review panel:Neurology
Product code:NUH
Regulation Class:II
Regulation Number:21 CFR 882.5890

Secondary Predicate Device

510(k) submitter/holder:Shenzhen OSTO Technology Company Limited
510(K) Number:K172897
Trade Name:Neck Care Therapy
Model:905B
Classification name:Stimulator, Nerve, Transcutaneous, Over-The-Counter
Review panel:Neurology
Product code:NUH, NGX
Regulation Class:II
Regulation Number:21 CFR 882.5890, 890.5850

4. Device description

The subject device is intended to use on back of neck and it designed accord with human body cervical physiological curvature of streamlined ring design. It is a body-worn and home-use device. It uses low-frequency electronic therapy and designed to temporary relief of pain associated with sore and aching muscles in the back of neck. It only has one model: ST-304.

The trade name of the subject device is Transcutaneous electrical nerve stimulator.

The Transcutaneous electrical nerve stimulator (model: ST-304) consists of a main unit and Type C-USB charging cable. The main unit consists of shell, lithium battery (only 1pcs), neck electrodes pads (a pair of fixed neck electrodes pads), lower shell connector and control buttons and silicone pads. There are two fixed neck electrodes pads on the main unit. The material of neck electrodes pads is titanium material (Gr.2). There are only 1 pcs lithium battery in-build in main unit. The model of lithium battery is KRL 103040.

The neck electrodes pads (a pair of fixed neck electrodes pads) are a kind of Titanium material, and the detail content as following description and as the classify of ASTM F67 2017 it is under Gr2:

Titanium material (Gr.2)Value
---------------------------------
Content
Main ComponentsTi
Remainder

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Al/
V/
Impurity ElementsFe0.235
C0.008
N0.012
O0.130
H0.0043
Other Impuritieseach≤ 0.1total≤ 0.3

The Transcutaneous electrical nerve stimulator (model: ST-304) power supply is 3.7V DC using built-in lithium battery(1200mAh). The built-in lithium battery can be recharged. But the power adapter (Input: 100-240V~, 50/60Hz,0.7A, Output: 5V== 1000mA) is not the parts of the subject device so it shall be supplied by the user. There are two fixed neck electrodes pads on the main unit. The material of neck electrodes pads is Titanium material (Gr.2).

The following power adapter is recommended:

Manufacturer: ShenZhen RiHuiDa Power Supply Co., Ltd

Model: RHD 10W050100U

UL certificate: E474213 Specification: Input: 100-240V ~, 50/60Hz,0.7A Output :5V = 1000mA

The Transcutaneous electrical nerve stimulator (model: ST-304) totally has 3 modes. The stimulation has 2 modes for stimulating and 15 output Intensity Levels for each mode, so the device can give certain electrical pulse through the neck electrodes pads on the intact skin of back neck to help users to temporary relief of pain. The heating only has 1 mode for

heating and it can also provide a constant temperature of 32℃ to 38℃ to provide a

warming sensation. The stimulation function and heating function can be used separately or simultaneously. The neck electrodes pads provide users with back of neck stimulation and heat to warm and comfort the muscles of the back of neck.

The main unit provides access to adjust the intensity up or down and adjust stimulating mode, put ON/OFF the main unit and heating function.

The Intensity level of electrical stimulation and heating function are easily controlled by the end user using manual, push-button controls. The push-button controls are consisted of four button which are Switch on/off button/mode switch button, heating button, Intensity increase button and Intensity decrease button.

Button function description:

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Switch on/off button/mode switch button(

    1. Long press about (2 seconds) to turn on or turn off the Transcutaneous electrical nerve stimulator (model: ST-304) and sound "Di". When turn on the device or in the working condition the button indicator light is blue and turn off the device button indicator will close.
    1. When battery is low capacity(<3.5V ), the indicator of the button will be flashing in blue light 3 times for 5 seconds and with long "Di" sound every two minutes. At the same time when short press the button will sound "Di". When the battery is charging the button will be flashing in green. When the battery is charged the button will be in green light always. The device can't be used when it is charging.
    1. When the capacity of battery<3.1V, the device shown prompt sound, shut down.
    1. Pulse mode adjusted:

Short press the button( Di, Di-Di-Di-Di-Di-Di-Di" sound about 3 second will be heard .When Mode 2 is chosen, intermittent " Di-, Di-, Di-, Di-- " sound for 3 seconds will be heard.

Heating button(纽

  1. Short press the button to start heating and button indication is green. If start heating successfully, the Transcutaneous Electrical Nerve Stimulator (ST-304) will sound "Di". Short press to stop heating and button indication lights off, if stopping heating successfully, the Transcutaneous Electrical Nerve Stimulator (ST-304) will sound "Di Di".

Intensity increase button (

    1. Short press " = ", " " " " " button to add or subtract pulse intensity, 1-15 level adjustable. Level 1 is the lowest intensity and the Level 15 is the highest intensity.
    1. After press " " "or " " " " " " " button, the sound "Dit" will be heard. When turn on the device, there is

without any pulse output, after short press " ■ " one time then enter into the working condition and will be output pulse in level 1 intensity. When the Intensity increase to 15 level, then short press the" = " one more time will sound "Di Di", it means the device is in the highest Intensity level (15 Intensity level).

The default stimulation time is 10 minutes, and the user cannot adjust but could turn off the device during working condition.

Transcutaneous electrical nerve stimulator (model: ST-304) has 2 types stimulation modes: Mode 1, Mode 2.

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When turn on the device, the device turns into default setting, the stimulation mode is Mode 2 and there is without any pulse output, after short press " " one time then enter into the working condition and will be output pulse at level 1 intensity.

These stimulation modes can be selected by short pressing the Switch on/off button/mode switch button

( ( ). The two stimulation modes are the same in indication for use.

Before use the device to wipe the Electro Therapy Conductive Gel on the Neck Electrode Pads. But the Electro Therapy Conductive Gel is not the part of subject device so it shall be supplied by the user.

The following Electro Therapy Conductive Gel are recommended:

Manufacturer: Guangzhou Xinbo Electronic Co., Ltd.

Trade/Device Name: DR-HO'S Electro Therapy Conductive Gel

Model Name: DHGEL

FDA clearance with a 510(k) number: K200402

Accessory

NameSpecification/modelQuantity(pcs)
Type C -USBcharging cablelength 1m,24AWG(0.16*11)1

Principle of operation:

The Transcutaneous electrical nerve stimulator (model: ST-304) sends low-voltage electrical pulses to specific nerves via two fixed neck electrodes pads applied on the intact skin of back of neck and powered by rechargeable lithium battery. The purpose is to temporarily relieve pain. By adjusting the output voltage and frequency to produce the low-voltage electrical pulses and achieve the effect of electrotherapy. Voltage regulation is realized by the Boost Converter circuit, which controls the voltage amplitude by modifying the PWM control circuit. After that, the voltage is released to the electrode through the analog circuit, and the time change of the output voltage is controlled by modifying the PWM frequency to achieve the specific electrotherapy effect.

Note: PWM means Pulse Width Modulation

5. Indications for Use

To be used for temporary relief of pain associated with sore and aching muscles in the back of neck, due to strain from exercise or normal household and work activities.

  • Neck electrodes Pads is used in back of neck.

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6. Summary of technological characteristics of device compared to the predicate devices (K210756 and

K172897)

CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy,905B)Discussion of difference
ManufacturerShenzhen FutureElectronic Co., LtdShenzhen OSTO TechnologyCo., LtdShenzhen OSTO TechnologyCo., Ltd/
PictureImage: Subject deviceImage: Predicate device 1Image: Predicate device 2/
Classification21 CFR 882.589021 CFR 882.589021 CFR 882.5890, 21 CFR890.5850Same
Prescription/OTCOTCOTCOTCSame
Product CodeNUHNUHNUH, NGXSame
FDA ClassIIIIIISame
Intended Use & Indicationsfor UseTo be used for temporaryrelief of pain associatedwith sore and achingmuscles in the back ofneck, due to strain fromexercise or normalTo be used for temporaryrelief of pain associated withsore and aching muscles inthe shoulder, waist, back ofneck, back,arm, and leg, due to strainTo be used for temporary reliefof pain associated with sore andaching muscles in the shoulder,waist, back of neck, back,SameBoth of subject device andpredicate devices can be used inback of neck.
CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy, 905B)Discussion of difference
household and work activities.- Neck electrodes Pads isused in back of neck.from exercise or normalhousehold and workactivities.- Neck Pad is used in back ofneck.- Meridian Pad is used inshoulder, waist, back, armand leg.arm, and leg, due to strain fromexercise or normal householdand work activities.- Neck Pad is used in back ofneck.- Meridian Pad is used inshoulder, waist, back, and arm.
target populationadultsadultsadultsSame
Power SourceMain Unit: 3.7Vdc,1200mAh Rechargeablelithium batteryPower Adaptor:Input: 100-240V~,50/60Hz,0.7AOutput :5V $=$ 1000mAMain Unit: 3.7Vdc,2200mAh lithium batteryPower Adaptor:Input: 100~240Vac,50/60Hz, 0.2A;Output: 5Vdc, 1ARemote Control:Battery: 3Vdc, 1.5V, AAA x2Main Unit:Power Adaptor:Input:100~240Vac,50/60Hz,0.2A;Output: 5Vdc, 1ABattery: 3.7Vdc, 500mAhRemote Control:Battery: 3Vdc, AAA x 2Unit Input: 5Vdc,1ADifferentSee D1
Method of linecurrent isolationType BF AppliedPartType BF AppliedPartType BF AppliedPartSame
PatientLeakageCurrentNormalconditionAC:23.3 $\mu$ ADC: $\le$ 1 $\mu$ AAC:54.5 $\mu$ ADC:0.5 $\mu$ AAC:54.5 $\mu$ ADC:0.5 $\mu$ ADifferentSee D2
Single faultAC: 6.7 $\mu$ A,AC:120.0 $\mu$ AAC:120.0 $\mu$ ADifferent
CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy,905B)Discussion of difference
conditionDC: $\u2264$ 1 \u03bcADC:0.6 \u03bc ADC:0.6 \u03bc ASee D2
Average current throughelectrodes when device ison but no pulses are beingapplied< 0.01 \u03bc A< 0.01 \u03bc A< 0.01 \u03bc ASame
Number of OutputModes332Same
Output Intensity LevelFor stimulating:15For heating:1For stimulating:50For heating:350 stepsDifferentSee D3
Heating temperature32-38°C30-40°CNADifferentSee D4
Numberof OutputChannelsNumber1SynchronousorAlternating?1Synchronous1SynchronousSame
Method ofChannelIsolationVoltage TransformIsolationVoltage TransformIsolationVoltage TransformIsolationSame
Regulated Current orRegulated Voltage?Voltage ControlVoltage ControlVoltage ControlSame
Software/Firmware/Microprocessor Control?YesYesYesSame
Automatic Overload Trip?NoNoNoSame
Automatic No-Load Trip?NoNoNoSame
CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy, 905B)Discussion of difference
Automatic Shut Off?YesYesYesSame
User Override Control?YesYesYesSame
IndicatorOn/Off Status?YesYesYesSame
DisplayLow Battery?YesYesYesSame
Voltage/ CurrentLevel?YesYesYesSame
Timer Range(minutes)10min5-30 min5-30 minDifferentSee D5
ANSI AAMI ES60601-1ES60601-1:2005/(R)2012and A1:2012,C1:2009/(R)2012 andA2:2010/(R)2012(Consolidated Text)YesYesYesSame
ANSI AAMI ES60601-1-2 :2014YesYesYesSame
IEC 60601-2-10 Edition 2.12016-04YesYesYesSame
Weight145g (only main unit)For Main Unit:AST-905H: 178gFor Electrode:Patch Electrode: 44gMain Unit:AST-905B: 222gElectrode:Patch Electrode: 44gDifferentSee D6
Dimensions (mm)(W x H x D)Main unit: 145 (W) × 140 (L) × 53 (H) (mm)AST-905H:173.4156.343.4 mmFor Electrode:Main Unit:AST-905B: 187.216967.3 mmElectrode: Patch Electrode: 8.9DifferentSee D7
CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy,905B)Discussion of difference
Neck electrode pad:$3,0cm×4,0cm$Effective area for eachNeck electrodepad: $10cm²$Meridian Pad: $8.9*5.8cm$Effective area: $50.04cm²$Neck Pad: $42.3 mm x29.5$mmcm $*5.8 cm$
Housing Materials andConstructionFor Neck electrode pad:Titanium material (Gr2)For Electrode Pads:White silica gel, Blackconductive silicone,Transparentconductive adhesivesilicone, TransparentPET siliconeFor Neck Pad: StainlesssteelElectrode Pads:White silica gel, Black conductivesilicone, Transparent conductiveadhesive silicone, TransparentPET siliconeSticky metal sheet: StainlesssteelDifferentSee D8
For Unit Housing: ABSPlastic and silica gelFor Unit Housing: ABSplasticHousing unit: ABS plastic
CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy, 905B)Discussion of difference
WaveformMode 1:Pulsed, symmetric, biphasicMode 2: Pulsed, symmetric, biphasicPulsed, symmetric, biphasicPulsed, symmetric, biphasicSame
Shape (e.g., rectangular, spike, rectified sinusoidal)Mode 1:Rectangular, with interphase intervalMode 2:Rectangular, with interphase intervalRectangular, with interphase intervalRectangular, with interphase intervalSame
Maximum OutputVoltage (± 10%)Mode 1:$44V @ 500 Ω$$80V @ 2 kΩ$$112V @ 10 kΩ$Mode 2:$42V @ 500 Ω$$78V @ 2 kΩ$$105V @ 10 kΩ$$44V±10% @ 500 Ω$$80V±10% @ 2kΩ$$112V±10% @ 10kΩ$$44V±10% @ 500 Ω$$80V±10% @ 2kΩ$$112V±10% @ 10kΩ$DifferentSee D 9
Maximum OutputCurrent (± 10%)Mode 1:$88mA @ 500 Ω$$40mA @ 2 kΩ$$88mA @ 500 Ω$$40mA @ 2 kΩ$$11.2mA @ 10 kΩ$$88mA @ 500 Ω$$40mA @ 2 kΩ$$11.2mA @ 10 kΩ$DifferentSee D10
CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy,905B)Discussion of difference
11.2mA @ 10 KΩ
Mode 2:84mA @ 500 Ω39mA @ 2 KΩ10.5mA @ 10 KΩ
Pulse WidthMode 1:120 μ s ± 10%120 μ s120 μ sSame
Mode 2:120 μ s ± 10%
FrequencyMode 1:77.3Hz ±10%77.3Hz77.3HzSame
Mode 2:77.3Hz ±10%
Net Charge (µC/pulse)Mode 1:0 µC @ 500ΩMethod: balancedwaveform0 µC @ 500ΩMethod: balanced waveform0 µC @ 500ΩMethod: balanced waveformSame
Mode 2:0 µC @ 500ΩMethod: balancedwaveform
Maximum Phase Charge(μC)Mode 1:10.3µC@ 500ΩMode 2:10.56 (µC) @ 500Ω12.78 (μC) @ 500ΩDifferentSee D 11
CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy,905B)Discussion of difference
9.6μC@ 500Ω
Maximum Current Density,(mA / cm², r.m.s.) @ 500ΩMode 1:2.2mA/cm²0.0326 mA/cm²0.235 mA/cm²DifferentSee D 12
Mode 2:2.2mA/cm²
Maximum Average PowerDensity (mW/cm²)Mode 1:0.36mW/cm² @500Ω0.0000266mW/cm² @500Ω1.38 mW/cm²DifferentSee D 13
Mode 2:0.32mW/cm² @500Ω
BurstMode(i.e.,pulsetrains)Pulses per burstN/A, no burst modeNot publicNot publicDifferentSee D14
Bursts persecond
Burst duration(seconds)
Duty Cycle [Line(b) x Line (c)
ON Time (seconds)240u s ± 10%Not publicNot publicDifferentSee D 15
OFF Time (seconds)12.8ms ±10%Not publicNot publicDifferentSee D 16
CharacteristicSubject device(TranscutaneousElectrical NerveStimulator, model ST-304)Predicate device 1(K210756, Neck CareTherapy, model: AST-905H)Predicate device 2(K172897, Neck Care Therapy,905B)Discussion of difference
Operating EnvironmentTemperature: 10~38°CHumidity: 30% -75%RHAtmospheric Pressure:860 hPa -1060 hPaTemperature: 10~40°CHumidity: 15% - 90%RHAtmospheric Pressure: 700hPa to 1060 hPaTemperature: 5~40°CHumidity: 15% - 90%RHAtmospheric Pressure: 700 hPato 1060 hPaDifferentSee D 17
Storage EnvironmentTemperature: -25~70°CHumidity: ≤90%RHAtmospheric Pressure: 860hPa -1060 hPaTemperature: -25~70°CHumidity: ≤90%RHAtmospheric Pressure: 860hPa -1060 hPaTemperature: -25~70°CHumidity: ≤90%RHAtmospheric Pressure: 860 hPa-1060 hPaSame
BiocompatibilityBiocompatibility testaccording to ISO 10993-5and ISO 10993-10Biocompatibility testaccording to ISO 10993-5and ISO 10993-10Biocompatibility test according toISO 10993-5 and ISO 10993-10Same
Electrical SafetyComply with ANSI AAMIES60601-1: 2005/(R)2012and A1: 2012 andIEC60601-2-10 Edition 2.12016-04Comply with IEC 60601-1and IEC 60601-2-10Comply with IEC 60601-1 andIEC 60601-2-10Same
EMCComply with ANSI AAMIIEC 60601-1-2:2014Comply with IEC 60601-1-2Comply with IEC 60601-1-2Same

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Output Specifications – Comparison with Predicate Devices

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The discussion of differences exist between the subject and predicate device is listed in following:

  • D1: The subject device has demonstrated electromagnetic compatibility and electrical safety by ANSI AAMI ES60601-1 and ANSI AAMI IEC 60601-1-2 testing. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D2: The subject device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D3: The subject device and predicate devices have differences in Intensity Level for stimulation modes. However, both of subject device and predicate devices have the same indications, frequency, waveform, shape and pulse width. The Maximum Output Voltage and Maximum Output Current of subject device under stimulation modes are equivalent and with the same range as that of the predicate devices.

The heating level of subject device is only one but the Heating temperature range of subject device is within the range of that of the predicate device1(K210756, Neck Care Therapy, model: AST-905H).

Furthermore, the subject device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests.

Therefore, the difference will not affect the safety and effectiveness of the subject device compared to the predicate device.

The heating temperature range of subject device is within the range of the predicate device 1(K210756, Neck Care Therapy, model: AST-905H).

  • D4: The subject device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference will not affectiveness of the subject device compared to the predicate device.
  • D5: The timer range of subject device is covered by the range of predicate devices, so the difference doesn't affect the safety and effectiveness of the subject device compared to the predicate device.
  • D6: The Weight will not affect the safety and effectiveness of the subject device compared to the predicate device.
  • D7: The dimensions will not affect the safety and effectiveness of the subject device compared to the predicate device.
  • D8: The Housing Materials and Construction forms the basic construction and ensure the basic safety of device, since the proposed device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests, the difference will not affect the safety of the subject device compared to the predicate device.
  • D9: There is a small difference in the maximum output voltage for Mode 2 of the subject device compared to the predicate devices. The predicate devices are safe and effective with its output voltage range. Although there is a small difference, the performance testing and electrical safety testing conducted according to ANSI AAMI ES60601-1 and IEC 60601-2-10 for the subject device has demonstrated that the subject device is as safe and effective as the predicate device. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D10: There is a small difference in the output current of Mode 2 of the subject device compared to the predicate devices. The predicate devices are safe and effective with its output current range. Although there is a small difference, the performance testing and electrical safety testing to ANSI AAMI ES60601-1 and IEC 60601-2-10 for the subject device has demonstrated that the subject device is as safe and effective with its output current as the predicate device. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D11: The small difference in Maximum Phase Charge between the subject device and predicate devices are acceptable and the subject device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D12: The proposed device has a small difference in maximum current density than the predicate devices. The subject device has also demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests.

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Therefore, the difference does not raise the issue of product's safety and effectiveness.

  • D13: There is a small difference in the Maximum Average Power between the subject device and predicate devices. The Maximum Average Power Density of the subject device is greater than predicate device 1 (Neck Care Therapy, model AST-905H) and smaller than the predicate device 2 (K172897, Neck Care Therapy, 905B), at the same time the Maximum Average Power Density of subject device is less than 0.25 Watts/cm². Furthermore, the subject device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D14: The difference regarding Burst Mode between the subject devices are acceptable given that the subject device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D15: The difference in the ON Time between the subject devices is acceptable given that the subject device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D16: The difference in the OFF Time between the subject devices is acceptable given that the subject device has demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference does not raise the issue of product's safety and effectiveness.
  • D17: There are differences in the Operating Environment between the subject device and predicate devices. However, the subject device and predicate devices are comply with ANSI AAMI ES60601- 1:2005((R)2012 and A1:2012, ANSI AAMI IEC 60601-1-2:2014, ANSI AAMI HA 60601-1-11:2015 and IEC 60601-2-10 Edition 2.1 2016-04. Therefore, the differences don't raise the issue of product's safety and effectiveness.

7. Discussion of Non-Clinical Tests Performed for Safety and effectiveness are

as follows

The recognized consensus standards for safety of medical equipment: ANSI AAMI ES60601-1, ANSI AAMI HA 60601-1-11 and for safety, IEC 60601-1-2 for electromagnetic compatibility, ISO 10993-5 and ISO 10993-10 for material biological compatibility, IEC 60601-2-10 for performance and IEC 62304 are complied, and see below table for details:

StandardsStandards Name
ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012Medical Electrical Equipment - Part 1: General RequirementsFor Basic Safety And Essential Performance
ANSI AAMI IEC 60601-1-2:2014Medical Electrical Equipment -- Part 1-2: General RequirementsFor Basic Safety And Essential Performance -- CollateralStandard: Electromagnetic Disturbances -- Requirements AndTests
ANSI AAMI HA 60601-1-11:2015Medical Electrical Equipment - Part 1-2: General RequirementsFor Basic Safety And Essential Performance - CollateralStandard: Electromagnetic Disturbances - Requirements AndTests

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IEC 60601-2-10 Edition 2.12016-04Medical electrical equipment - Part 2-10: Particularrequirements for the basic safety and essential performance ofnerve and muscle stimulators
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IEC 62304 Edition 1.1 2015-06 CONSOLIDATEDVERSIONMedical device software - Software life cycle processes
ISO 10993-5 Third edition2009-06-01Biological evaluation of medical devices - Part 5: Tests for invitro cytotoxicity
ISO 10993-10 Third Edition2010-08-01Biological evaluation of medical devices - Part 10: Tests forirritation and skin sensitization
ISO 10993-1 Fifth edition2018-08Biological evaluation of medical devices - Part 1: Evaluation andtesting within a risk management process

Software verification and validation was performed for the subject device with Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices - Guidance for Industry and FDA Staff, May 2005.

The Output Waveform test was performed for the subject device with Guidance Document for Powered Muscle Stimulator 510(k)s.

8. Discussion of Clinical Accuracy Testing Performed

FUTURE determined that bench and non-clinical testing were sufficient to demonstrate that Transcutaneous Electrical Nerve Stimulator, model: ST-304 is as safe and effective as the predicate device.

9. Conclusions

The electrical safety, EMC, biocompatibility, software verification, basic unit characteristics, and output specifications information provided is sufficient to demonstrate substantial equivalence to the predicate devices. As the Transcutaneous Electrical Nerve Stimulator, model: ST-304 is nearly identical to the predicate devices, differences in their characteristics do not raise new questions regarding safety and effectiveness with identical indications for use and essentially identical technological characteristics, the Transcutaneous Electrical Nerve Stimulator, model: ST-304 is substantially equivalent to the predicate devices.

§ 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).