K Number
K232982
Device Name
EMS Sculpt Machine
Date Cleared
2024-11-25

(430 days)

Product Code
Regulation Number
890.5850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The EMS Sculpt Machine is indicated to be used for: - · Improvement of abdominal tone, strengthening of the abdominal muscles, development of firmer abdomen. - · Strengthening, Toning and Firming of buttocks and thighs.
Device Description
The EMS Sculpt Machine is a non-invasive therapeutic device. The device produces electromagnetic field that interacts with the tissues of the human body. By muscle stimulation, the EMS Sculpt Machine helps to strengthen and firm the abdomen, buttocks and thighs. The EMS Sculpt Machine is equipped with a LCD touch screen that significantly facilitates the use of the device. The user exchanges with the system by the LCD and the keys on it. The state of the system, the operation interface, the instructions and hints to the user will be shown on the LCD.
More Information

Not Found

No
The summary does not mention any AI or ML capabilities, focusing on electromagnetic stimulation and a standard user interface.

Yes
The "Device Description" explicitly states, "The EMS Sculpt Machine is a non-invasive therapeutic device." Additionally, its "Intended Use" describes improvements in abdominal tone and strengthening/firming of buttocks and thighs, which are therapeutic outcomes.

No

Explanation: The device description and intended use clearly state that the EMS Sculpt Machine is a therapeutic device used for strengthening and firming muscles by producing an electromagnetic field. It does not mention any function related to diagnosing medical conditions.

No

The device description explicitly states it is a "non-invasive therapeutic device" that "produces electromagnetic field" and is "equipped with a LCD touch screen," indicating it is a physical hardware device with integrated software, not a software-only medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • EMS Sculpt Machine Function: The description clearly states the device is a "non-invasive therapeutic device" that produces an "electromagnetic field that interacts with the tissues of the human body" for "muscle stimulation." It works directly on the body, not on specimens taken from the body.
  • Intended Use: The intended use is for improving muscle tone, strengthening, toning, and firming specific body areas. This is a therapeutic/aesthetic application, not a diagnostic one based on analyzing biological samples.

Therefore, the EMS Sculpt Machine falls under the category of a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The EMS Sculpt Machine is indicated to be used for:
· Improvement of abdominal tone, strengthening of the abdominal muscles,
development of firmer abdomen.
· Strengthening, Toning and Firming of buttocks and thighs.

Product codes

NGX

Device Description

The EMS Sculpt Machine is a non-invasive therapeutic device. The device produces electromagnetic field that interacts with the tissues of the human body. By muscle stimulation, the EMS Sculpt Machine helps to strengthen and firm the abdomen, buttocks and thighs.
The EMS Sculpt Machine is equipped with a LCD touch screen that significantly facilitates the use of the device. The user exchanges with the system by the LCD and the keys on it. The state of the system, the operation interface, the instructions and hints to the user will be shown on the LCD.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

abdomen, buttocks and thighs

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

  • ANSI/AAMI ES60601-1:2005/(R)2012 And A1:2012, 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 Compatibility- Requirements And Tests
  • IEC 60601-2-10:2016 Medical electrical equipment - Part 2-10: Particular requirements for the basic safety and essential performance of nerve and muscle stimulators
  • IEC 60601-1-6:2020 Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability
  • ISO 10993-5:2009 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity
  • ISO 10993-10:2021 Biological evaluation of medical devices - Part 10: Tests for skin sensitization
  • ISO 10993-23:2021 Biological evaluation of medical devices - Part 23: Tests for irritation

No clinical study is included in this submission.

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

Not Found

Predicate Device(s)

K163165

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.5850 Powered muscle stimulator.

(a)
Identification. A powered muscle stimulator is an electrically powered device intended for medical purposes that repeatedly contracts muscles by passing electrical currents through electrodes contacting the affected body area.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo for the U.S. Food & Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol is a stylized representation of a human figure, while the FDA name is written in blue and includes the words "U.S. Food & Drug Administration".

November 25, 2024

Shandong Huamei Technology Co., Ltd. Ray Wang General Manager Beijing Believe-Med Technology Service Co., Ltd. Rm. 912, Building #15, XiYueHui, No.5, YiHe North Rd. FangShan District Beijing, Beijing 102401 China

Re: K232982

Trade/Device Name: EMS Sculpt Machine Regulation Number: 21 CFR 890.5850 Regulation Name: Powered Muscle Stimulator Regulatory Class: Class II Product Code: NGX Dated: March 25, 2024 Received: March 25, 2024

Dear Ray Wang:

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 (the 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 available 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.

1

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 801); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-regulatory

2

assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Heather L. Dean -S

Heather Dean, PhD Assistant Director, Acute Injury Devices Team 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

3

Indications for Use

510(k) Number (if known) K232982

Device Name EMS Sculpt Machine

Indications for Use (Describe)

The EMS Sculpt Machine is indicated to be used for:

  • · Improvement of abdominal tone, strengthening of the abdominal muscles, development of firmer abdomen.
    · Strengthening, Toning and Firming of buttocks and thighs.

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.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

4

510(k) Summary K232982

Date of Preparation: 09/15/2023

Sponsor Identification

Shandong Huamei Technology Co.,Ltd. 588, Changning Street, High-tech District, Weifang, Shandong 261205 People's Republic of China. Contact Person: DongYugui Position: vice-general manager Tel: +86-15306469955 Fax: +86-536-2109823 Email: 2851353667@qq.com

Designated Submission Correspondent

Beijing Believe-Med Technology Service Co., Ltd. Rm.912, Building #15, XiYueHui, No.5, YiHe North Rd., FangShan District, Beijing, China, 102401 Contact Person: Ray Wang Position: General Manager Tel: +86-18910677558 Fax: +86-10-56335780

Email: information(@believe-med.com

Device:

Trade name: EMS Sculpt Machine Common name: Powered muscle stimulator

Regulatory Information

Classification Name: Stimulator, Muscle, Powered, For Muscle Conditioning Classification: Class 2 Product Code: NGX Regulation Number: 21 CFR 890.5850 Regulation Name: Stimulator, Muscle, Powered, For Muscle Conditioning Review Panel: Physical Medicine

Predicate Device(s)

Primary Predicate Device 510(k) Number: K163165 Product Name: AM-100 Manufacturer: BTL Industries, Inc. Classification: Class 2 Product Code: NGX Regulation Number: 21 CFR 890.5850

Indication For Use Statement:

The EMS Sculpt Machine is indicated to be used for:

• Improvement of abdominal tone, strengthening of the abdominal muscles, development of firmer abdomen.

  • · Strengthening, Toning and Firming of buttocks and thighs.

5

Device Description

The EMS Sculpt Machine is a non-invasive therapeutic device. The device produces electromagnetic field that interacts with the tissues of the human body. By muscle stimulation, the EMS Sculpt Machine helps to strengthen and firm the abdomen, buttocks and thighs.

The EMS Sculpt Machine is equipped with a LCD touch screen that significantly facilitates the use of the device. The user exchanges with the system by the LCD and the keys on it. The state of the system, the operation interface, the instructions and hints to the user will be shown on the LCD.

Non-Clinical Test Conclusion

Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

  • ANSI/AAMI ES60601-1:2005/(R)2012 And A1:2012, 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 Compatibility- Requirements And Tests

  • IEC 60601-2-10:2016 Medical electrical equipment - Part 2-10: Particular requirements for the basic safety and essential performance of nerve and muscle stimulators

  • IEC 60601-1-6:2020 Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability

  • ISO 10993-5:2009 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity

  • ISO 10993-10:2021 Biological evaluation of medical devices - Part 10: Tests for skin sensitization

  • A ISO 10993-23:2021 Biological evaluation of medical devices - Part 23: Tests for irritation

Clinical Test Conclusion

No clinical study is included in this submission.

6

Technological Characteristics

Table 1 General Comparison

ITEMProposed DevicePredicate Device (K163165)Remark
Indications for useThe EMS Sculpt Machine is indicated to be used for:
• Improvement of abdominal tone, strengthening of the abdominal muscles, development of firmer abdomen.
• Strengthening, Toning and Firming of buttocks and thighs.AM-100 is indicated to be used for:
• Improvement of abdominal tone, strengthening of the abdominal muscles, development of firmer abdomen.
• Strengthening, Toning and Firming of buttocks and thighs.SAME
Product CodeNGXNGXSAME
Regulation Number21 CFR 890.585021 CFR 890.5850SAME
Regulation NameStimulator, Muscle, Powered, For Muscle
ConditioningStimulator, Muscle, Powered, For
Muscle ConditioningSAME
ClassificationIIIISAME
Prescription vs. OTCPrescription usePrescription useSAME
Principle of ActionInitiating action potential of nerves results in
muscle contractionInitiating action potential of nerves
results in muscle contractionSAME
User InterfaceTouch screenTouch screenSAME
Type of EnergyMagnetic fieldMagnetic fieldSAME
Firmware ControlledYESYESSAME
Environmental
SpecificationsFor indoor use onlyFor indoor use onlySAME
Magnetic Field
IntensityHM-P handle:0.1-2.5T
HM-C handle:0.1-2TApplicator 299-1: 0.5–1.8 T
Applicator 299-2: 0.7-2.5 TAnalyze 1
Type of OperationContinuousContinuousSAME
Pulse Frequency1-150Hz1-150HzSAME
Pulse Duration$280 \pm 20% \mu s$$280 \pm 20% \mu s$SAME
Pulse Amplitude0-100%0 - 100%SAME
Induced Current in
the Tissue28-30mA28-30 mASAME
Selection of
parameters (Intensity,
Time)YESYESSAME
Therapy TimeUp to 30 minUp to 60 minAnalyze 2
Shape of Stimulation
PulseBidirectional waveBidirectional waveSAME
Energy Source100~240VAC,50/60Hz100 - 240 VAC, 50-60 HzSAME
System Dimensions
(W×H×D)497.5×1109×615mm500×970×580 mm (20×38×23 in)Analyze 3
Ambient
Temperature-10°C~55°C-10°C to +55°CSAME
Environmental
SpecificationsFor indoor use onlyFor indoor use onlySAME
Applied Standards:
BiocompatibilityISO 10993-1, ISO 10993-5,
ISO 10993-10, ISO 10993-23NAAnalyze 4
Electrical SafetyIEC 60601-1 and IEC 60601-1-6IEC 60601-1 and IEC 60601-1-6SAME
EMCIEC 60601-1-2IEC 60601-1-2SAME
PerformanceIEC 60601-2-10IEC 60601-2-10SAME

7

Analyze 1:

The Magnetic Field Intensity of subject device is 0.1-2.5T, The max Magnetic Field Intensity is same to the predicate device and no new risk arises. Both of them meet the requirements of IEC 60601-1-2 and IEC 60601-2-10, so we believe that this difference will not raise any risks in safety and effective, both the proposed device and predicate device are safe and effective.

Analyze 2:

The treatment of proposed device is between 0~30 min, it is less than predicate device. The high temperature risk is lower than predicate device. Both of them meet the requirements of IEC 60601-2-10, so we believe that this difference will not raise any risks in safety and effective, both the proposed device and predicate device are safe and effective.

Analyze 3:

The proposed device is different in System Dimensions from the predicate device. However, the configuration difference is just in physical specification and this difference will not raise any issues in safety and effectiveness. By complying with IEC 60601-1, the mechanical performance of the proposed device is determined to be accepted. Therefore, this difference will not affectiveness of the proposed device.

Analysis 4:

The proposed device is different in Biocompatibility Testing Standard from the predicate device (K163165). We tested ISO 10993-5:2009, ISO 10993-10:2021 and ISO 10993-23:2021, which are FDA recognized standard. Therefore, this difference will not affect the safety in Biocompatibility of the proposed device.

8

Conclusion

Based on the nonclinical tests performed, the subject device is as safe, as effective, and performs as well as or better than the legally marketed predicate device (K163165).