(28 days)
No
The description details a mechanical device with user-adjustable controls for air pressure and segment inflation. There is no mention of AI or ML in the device description, intended use, or performance studies.
Yes
The device is indicated for the temporary relief of minor muscle aches and for temporary increase in circulation, which are therapeutic benefits.
No
The device is described as a powered inflatable tube massager for temporary relief of muscle aches and increasing circulation. It does not mention any function for diagnosing conditions or diseases.
No
The device description explicitly details hardware components including an air compressor unit, control system, inflatable "boot", plastic air tubing, and a user interface with a front panel display and buttons. It also mentions receiving power from an external power supply or integral battery pack.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use/Indications for Use: The intended use is for temporary relief of minor muscle aches and temporary increase in circulation. This is a physical therapy/massage type of application, not a diagnostic test performed on biological samples.
- Device Description: The device is described as a powered inflatable tube massager that simulates kneading and stroking of tissues. It works by applying pressure to the leg using an inflatable garment. This is a mechanical action, not a diagnostic process involving analysis of biological specimens.
- Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.
In summary, the Aquilo Sports CCT1500 System is a therapeutic device for physical relief and circulation, not a diagnostic device that analyzes biological samples.
N/A
Intended Use / Indications for Use
The Aquilo Sports CCT1500 System is indicated for the temporary relief of minor muscle aches and pains and for temporary increase in circulation to the treated areas in people who are in good health. The CCT1500 simulates kneading and stroking of tissues by using an inflatable garment.
Product codes
IRP
Device Description
This submission is for the Aquilo Sports CCT1500 System is a powered inflatable tube massager. It is being submitted as an over the counter device.
The device is indicated for the temporary relief of minor muscle aches and for temporary increase in circulation to the treated areas in people who are in good health. The CCT1500 simulates kneading and stroking of tissues by using an inflatable garment.
The device is a Class II, type BF applied part that receives power a separately approved external IEC 60601-1 compliant power supply or integral battery pack.
The CCT1500 consists of an air compressor unit with a control system, an inflatable "boot" for the leg, plastic air tubing with a proprietary connector for connecting the device to the boot.
The user interface is a front panel display and buttons.
The CCT1500 contains an air compressor with a system control that that allows the user to adjust the amount of air coming from the air compressor and going to the individual segments of the inflatable boot.
There is no electrical contact with the user and the device does not transfer or detect energy to or from the user.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Leg (using inflatable "boot")
Indicated Patient Age Range
Adults
Intended User / Care Setting
Clinics, hospital, athlete training, and home environments
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)
Bench:
The device has been tested to ensure that it all requirements have been met, this includes:
- Testing of all controls
- Testing of all indicators
- Testing of performance
The device has also been tested to the requirements of the following standards:
- AAMI / ANSI ES60601-1:2005 + A1: 2012 Medical electrical equipment part 1: general requirements for basic safety and essential performance
- IEC 60601-1-2: 2014, Collateral standard: Electromagnetic Disturbances -● Requirements and Tests
- IEC 60601-1-11: 2015, Collateral standard: requirements for medical . electrical equipment and medical electrical systems used in the home healthcare environment
Animal: No animal testing was performed
Clinical: No clinical testing was performed
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
IRP Rapid Reboot 510(k) K182668
Reference Device(s)
NormaTec Pulse and NormaTec Pulse Pro 510(k) K160608
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).
0
Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
November 4, 2022
Aquilo Sports LLC % Prithul Bom Most Responsible Person Regulatory Technology Services, LLC 1000 Westgate Drive, Suite 510k Saint Paul, Minnesota 55114
Re: K223164
Trade/Device Name: Aquilo Sports CCT1500 System Regulation Number: 21 CFR 890.5650 Regulation Name: Powered inflatable tube massager Regulatory Class: Class II Product Code: IRP Dated: October 06, 2022 Received: October 07, 2022
Dear Prithul Bom:
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-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,
Vivek Pinto, PhD 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
Indications for Use
510(k) Number (if known) K223164
Device Name Aquilo Sports CCT1500 System
Indications for Use (Describe)
The Aquilo Sports CCT1500 System is indicated for the temporary relief of minor muscle aches and for temporary increase in circulation to the treated areas in people who are in good health. The CCT1500 simulates kneading and stroking of tissues by using an inflatable garment.
| Type of Use (Select one or both, as applicable) | |
|---|---|
| | Prescription Use (Part 21 CFR 801 Subpart D)
|X | Over-The-Counter Use (21 CFR 801 Subpart C)
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| | 510(k) Summary
Page 1 of 10 |
|----------------------------------------|------------------------------------------------------------------------------------------|
| | K223164 |
| Date Prepared: | November 2, 2022 |
| Applicant | Aquilo Sports
1902 Campus Pl Ste 12
Louisville, KY 40299
Tel - 502 290 8994 |
| Official Contact: | John Paul Spence VP Sales and Marketing |
| Proprietary or Trade Name: | Aquilo Sports CCT1500 System |
| Common/Usual Name: | Powered Inflatable Tube Massager |
| Classification Name: | IRP - Massager Powered Inflatable Tube (CFR 890.5650) |
| Predicate Device:
Reference Device: | IRP Rapid Reboot 510(k) K182668
NormaTec Pulse and NormaTec Pulse Pro 510(k) K160608: |
Device Description:
This submission is for the Aquilo Sports CCT1500 System is a powered inflatable tube massager. It is being submitted as an over the counter device.
The device is indicated for the temporary relief of minor muscle aches and for temporary increase in circulation to the treated areas in people who are in good health. The CCT1500 simulates kneading and stroking of tissues by using an inflatable garment.
The device is a Class II, type BF applied part that receives power a separately approved external IEC 60601-1 compliant power supply or integral battery pack.
The CCT1500 consists of an air compressor unit with a control system, an inflatable "boot" for the leg, plastic air tubing with a proprietary connector for connecting the device to the boot.
The user interface is a front panel display and buttons.
The CCT1500 contains an air compressor with a system control that that allows the user to adjust the amount of air coming from the air compressor and going to the individual segments of the inflatable boot.
There is no electrical contact with the user and the device does not transfer or detect energy to or from the user.
4
510(k) Summary Page 2 of 10
The user interface of the CCT1500 provides for starting and stopping the massage treatment, allows for adjusting time and intensity (pressure) of the treatment. The device also provides a proprietary keyed connector to the tubing which connects to the boot.
Pressure level is selectable between 20 and 150 mmHg
Indications for Use:
The Aquilo Sports CCT1500 System is indicated for the temporary relief of minor muscle aches and pains and for temporary increase in circulation to the treated areas in people who are in good health. The CCT1500 simulates kneading and stroking of tissues by using an inflatable garment.
Patient Population:
Adults
Environments of Use:
Clinics, hospital, athlete training, and home environments
5
510(k) Summary Page 3 of 10
Table of the Similarities and Differences of Predicate vs. Proposed Device Over The Counter Device
| Model Name
510(k) Number | New Device
Aquilo Sports CCT1500 System | Predicate Device
Rapid Reboot
510(k) K182668 | Comment |
|--------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|
| Classification | Class II Device, IRP (21
CFR890.5650) | Class II Device, IRP (21
CFR890.5650) | Identical |
| Indications for use | The Aquilo Sports CCT1500
System is indicated for the
temporary relief of minor muscle
aches and pains
and for temporary increase in
circulation to the treated areas in
people who are in good health.
The CCT1500 simulates
kneading and stroking of tissues
by using an inflatable garment. | The Rapid Reboot Compression
Therapy System is indicated for the
temporary relief of minor muscle
aches and pains and for temporary
increase in circulation to the treated
areas in people who are in good
health. The Rapid Reboot
Compression Therapy System
simulates kneading and stroking of
tissues by using an inflatable
garment. | Identical |
| OTC or Prescription | OTC | OTC | Identical |
| Environment of Use | Clinics, hospital, athlete
training, and home
environments | Clinics, hospital, athlete
training, and home
environments | Identical |
| Compliance with Voluntary
standards | ES 60601-1, IEC 60601-1-2,
IEC 60601-1-11 | IEC 60601-1, IEC 60601-1-2 | The CCT1500 meets
home use standard |
| Mode of Operation | Sequential | Sequential/Peristaltic | No difference.
Peristaltic and
Sequential are
synonymous |
| | | | |
| Cycle Time | Between 8 sec. and 95 sec. (full cycle - including hold time) depending on device settings*. | 1 min 20 sec | Similar |
| Hold Time | Between 4 sec. and 95 sec. depending on device settings*. | Not available | Similar |
| Power | 100-240 V, 50-60 Hz, 2.5A Max
Internal rechargeable battery | 110 V, 60Hz | The addition of the battery does not impact the efficacy of the device. The device and battery have been tested for safety to current standards |
| Device
Pressure range | 20-150mmHg | 0 - 200 mmHg | The CCT1500 has a more restricted range |
| Treatment Time | Treatment time programmable from 20-150 minutes in 5-minute intervals. Time default is 30 minutes | User determines therapy time. Choose from 10, 20, or 30 minutes session time, with option to add additional 10 minutes to any therapy time. | Maximum selectable time is 200 minutes which is longer that the predicate but shorter than the reference device as below |
| Garments contact surface
Material | Nylon with a Polyurethane laminate | Nylon with a Polyurethane laminate | Same materials |
| Leg Attachment | Yes | Yes | Identical in size and construction |
| Number of Inflatable appliance
Segments | 6 | 4 | Similar. |
| Weight | 18.1 pounds | 5.8 pounds | Similar. CCT1500 weighs more in part because of battery |
| Dimensions (W x H x D) | 16" x 8.25" x 10.25" | 10" x 6.5" x 5" | Similar |
| Housing Materials and
Constructions | Molded ABS enclosure | Molded ABS enclosure | Identical |
| | Patient contact | Non-conductive appliances | Non-conductive appliances |
| Safety Features | Button on display allows
user to stop or pause
therapy session at any time. | Button on display allows
user to stop or pause
therapy session at any time. | Identical |
| Modes | 5 modes, sequential and uniform
(all segments inflated deflated at
once). | 2 Modes: “A” mode inflates and
deflates chambers from bottom to
up (distal to proximal chambers),
one at a time "B" mode also inflates
from bottom up, but maintains
pressure in lower chambers as it
works it way to the top. Then all
chambers release pressure at the
same time once all chambers have
sequentially inflated | Similar |
| Accessories | One size Length: 36"
Max Width: 27" | X-Short: 14" x 41"
Short: 14" x 43"
Medium: 14" x 45"
Long: 14" x 48"
X-Long: 14" x 52" | CCT1500 only offers
leg attachment |
| SW/Firmware/
Microprocessor
Control | Microprocessor | Microprocessor | Identical |
| Technology | Compressor and valve
system which sequentially
inflates cells of appliance | Compressor and valve
system which sequentially
inflates cells of appliance | Identical |
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510(k) Summary Page 4 of 10
7
510(k) Summary
Page 5 of 10
*The cycle time and hold time of the device are contings programmed by the user. These times will fluctuate within the described range depending on the user's input for the pressure, and compression mode settings. For example, using only one compression chamber at a low pressure will result in cycle and hold times on the range, while using all six chambers at a high pressure will result
8
510(k) Summary Page 6 of 10
in cycle and hold times at the upper end of the range. Additionally, the hold time will be different chambers in the compression boot during sequential compression mode 1, compression chamber 1 at the foot will inflate and maintain the target pressure while the rest of the boot inflates, meaning the hold time in chamized (up to 95 seconds), while the hold time in chamber 6 will be minimized (4 seconds).
Reference Device: NormaTec Pulse and NormaTec Pulse Pro 510(k) K160608:
The NormaTec Pulse and NormaTec Pulse Pro are used as a reference device for "Treatment Time". The subject device has a treatment time of 20-150 minute intervals. Time default is 30 minutes while the reference device is user controlled 10 minutes to 175 minutes or continuous. As the reference device includes a continuous treatment that the subject device range is within the reference.
9
510(k) Summary Page 7 of 10
Substantial Equivalence Discussion
In the above tables we have compared the CCT1500 to the predicate for equivalence of: Indications -
The Aquilo Sports CCT1500 System is indicated for the temporary relief of minor muscle aches and pains and for temporary increase in circulation to the treated areas in people who are in good health. The CCT1500 simulates kneading and stroking of tissues by using an inflatable garment.
These indications are identical to the predicate device.
Design, Technology and Principle of Operation - The CCT15000 is equivalent in design and features when compared to the predicate and has identical technology
Performance and Specifications – The CCT1500 has equivalent specifications of performance when compared to the predicate device. This includes cycle time and hold time.
Compliance with standards - The CCT1500 is compliance with IEC 60601-1, IEC 60601-1-11 and IEC 60601-1-2 which is identical to the predicate devices.
Patient Population -
The CCT1500 and predicate are indicated for adults
Environment of Use -
The CCT1500 environments are identical to the predicate
Differences –
There are no differences between the proposed device and the predicate device that raise any new safety and efficacy concerns.
Performance Testing
Bench:
The device has been tested to ensure that it all requirements have been met, this includes:
- . Testing of all controls
- Testing of all indicators .
- Testing of performance .
The device has also been tested to the requirements of the following standards:
- AAMI / ANSI ES60601-1:2005 + A1: 2012 Medical electrical equipment part 1: general requirements for basic safety and essential performance
- IEC 60601-1-2: 2014, Collateral standard: Electromagnetic Disturbances -● Requirements and Tests
10
510(k) Summary Page 8 of 10
- IEC 60601-1-11: 2015, Collateral standard: requirements for medical . electrical equipment and medical electrical systems used in the home healthcare environment
Animal:
No animal testing was performed
Clinical:
No clinical testing was performed
Differences -
There are no differences between the proposed device and the predicate device that raise any new safety and efficacy concerns.
Substantial Equivalence Rationale
The CCT1500 is viewed as similar to the predicate device because:
Indications - are identical to the predicate
Prescriptive - The CCT1500 is over the counter and same as the identified predicate.
Design, Technology and Principle of Operation - The CCT1500 has equivalent design and features when compared to the predicate and has the identical technology.
Performance and Specifications – The CCT1500 has equivalent specifications of performance when compared to the predicate.
Compliance with standards - The CCT1500 declares compliance with IEC 60601-1, IEC 60601-1-11 and IEC 60601-1-2 which is identical to the predicate.
Environment of Use - Identical to the predicate.
Features - The CCT1500 has equivalent features when compared to the predicate device
Conclusion
11
510(k) Summary Page 9 of 10
The CCT1500 is similar to the predicate in: indications for use, patient population, environment of use, technology characteristics, materials, specifications / performance and compliance with international standards. Minor differences as detailed in the substantial equivalence table above do not raise questions of safety and effectiveness. Therefore, subject device is substantially equivalent to the predicate device.