K Number
K240564
Device Name
NuFACE® FIX+
Date Cleared
2024-06-27

(119 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The NuFACE FIX+ Device is intended for facial stimulation and is indicated for over-the-counter cosmetic use.
Device Description
FIX+ is a portable hand-held microcurrent stimulator for facial skin stimulation indicated for over-the-counter cosmetic use. Main components: Main unit, USB power cable, and NuFACE Line Smoothing FIX Serum conductivity gel. Housing of the device made from Acrylonitrile Butadiene Styrene, with chrome-plated spherical probes. Inclusion of three microcurrent output frequency levels. Integrated rechargeable lithium-ion battery.
More Information

Not Found

No
The document does not mention AI, ML, or any related concepts like training sets, test sets, or image processing, which are typically associated with AI/ML applications in medical devices. The description focuses on the device's hardware components and electrical stimulation capabilities.

No.
The device is indicated for "over-the-counter cosmetic use" and "facial stimulation," which are not considered therapeutic purposes. Furthermore, the absence of animal or clinical studies, with substantial equivalence based on performance specifications to a predicate device, indicates it's not intended for medical treatment.

No
The device is described as a "microcurrent stimulator for facial skin stimulation" intended for cosmetic use, and the performance studies focus on safety and technical specifications, not on diagnosing any medical conditions.

No

The device description explicitly details hardware components such as a main unit, USB power cable, housing made from Acrylonitrile Butadiene Styrene, chrome-plated spherical probes, and an integrated rechargeable lithium-ion battery. It also mentions electrical safety and EMC testing, which are related to hardware.

Based on the provided information, the NuFACE FIX+ Device is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is "facial stimulation" and "over-the-counter cosmetic use." This clearly indicates a purpose related to cosmetic appearance and not the diagnosis of diseases or conditions.
  • Device Description: The description focuses on the physical characteristics and function of a microcurrent stimulator for facial skin. There is no mention of analyzing biological samples (like blood, urine, or tissue) which is a core characteristic of IVD devices.
  • Lack of IVD-related information: The document does not contain any information typically associated with IVD devices, such as:
    • Analysis of biological samples.
    • Detection or measurement of analytes.
    • Diagnostic claims.
    • Performance metrics like sensitivity, specificity, PPV, NPV, which are crucial for evaluating the accuracy of diagnostic tests.

In summary, the NuFACE FIX+ Device is a cosmetic device for facial stimulation, not a device used for in vitro diagnostic purposes.

N/A

Intended Use / Indications for Use

The NuFACE® FIX+ Device is intended for facial stimulation and is indicated for over-the-counter cosmetic use.

Product codes

NFO

Device Description

  • FIX+ is a portable hand-held microcurrent stimulator for facial skin stimulation indicated for over-the-counter cosmetic use.
  • -Main components: Main unit, USB power cable, and NuFACE Line Smoothing FIX Serum conductivity gel.
  • Housing of the device made from Acrylonitrile Butadiene Styrene, with chrome-plated spherical probes.
  • Inclusion of three microcurrent output frequency levels. -
  • Integrated rechargeable lithium-ion battery -

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

facial

Indicated Patient Age Range

Not Found

Intended User / Care Setting

over-the-counter cosmetic use / home use

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)

a. Safety Testing: NūFACE® FIX+ device was tested and has demonstrated compliance with applicable IEC standards concerning electrical safety and EMC.
b. Common EM Emitters: The FIX+ was tested to all applicable clauses of the IEC 60601-1-2: Edition 4.1, IEC 60601-4-2 Edition 1.0, and IEC 55014-2:2021 standards. In addition, a Common Emitter evaluation, for some of the most common electromagnetic emitters a home user could encounter, was conducted per FDA guidance document "Electromagnetic Compatibility (EMC) of Medical Devices" (06/06/2022).
c. Bench Testing: Extensive bench testing was conducted to ensure the output waveform characteristics and the microcurrent output performance levels met the established product requirements within the designed tolerances. These tests are addressed in detail in the Performance Testing Section of this premarket notification. Performance bench testing was conducted using production equivalent devices of the NūFACE® FIX Plus device. The testing was comprised of: Output Waveform Characteristics, Output Energy Characteristics. Both internal performance bench testing and laboratory testing conducted concluded that the subject FIX+ device waveform and energy characteristics fall within their intended specifications and are substantially equivalent to the predicate device.
d. Software Verification and Validation Testing: Certification and validation testing for the subject device were conducted and documented as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." All test requirements are considered as Passed and the user interface features, functions, and output of the FIX+ devices meet the specified design input criteria.
e. Animal Study and Clinical Studies: The provided documentation asserts that the determination of substantial equivalence for the device in question will not involve animal or clinical studies; hence, no such studies have been conducted to support this claim. Instead, a comparison of performance specifications with a predicate device will be used for the assessment.
f. Biocompatibility: The FIX+ device was evaluated for Biocompatibility as a Surface Device with contact with intact skin with a long-term contact duration of greater than 30 days.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K182424

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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).

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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.

June 27, 2024

Carol Cole Company dba NuFACE® Robert Castro Director of Quality and Regulatory 1325 Sycamore Ave Suite A Vista, California 92081

Re: K240564

Trade/Device Name: NuFACE® FIX+ Regulation Number: 21 CFR 882.5890 Regulation Name: Transcutaneous Electrical Nerve Stimulator For Pain Relief Regulatory Class: Class II Product Code: NFO Dated: April 15, 2024 Received: April 16, 2024

Dear Robert Castro:

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.

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-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.

Heather L. Dean -S

Heather Dean, PhD Assistant Director, Acute Injury Devices Team DHT5B: Division of Neuromodulation and Physical Medicine Devices

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OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

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Indications for Use

s for Use

Submission Number (if known)

K240564

Device Name

NuFACE® FIX+

Indications for Use (Describe)

The NuFACE FIX+ Device is intended for facial stimulation and is indicated for over-the-counter cosmetic use.

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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1. SUBMITTER

Submitter:Carol Cole Company dba NūFACE®
Address:1325 Sycamore Ave., Suite A Vista, CA 92081
Phone:818-468-3752
Fax:760-650-3037
Email:rcastro@nuface.com
Contact Person:Robert C. Castro
Date Prepared:April 15, 2024

2. DEVICE

Name of Device:NūFACE® FIX+
Common or
Usual Name:FIX+
Classification Name:Transcutaneous electrical nerve stimulator for pain relief
Regulation Number:21 CFR 882.5890
Regulatory Class:Class II
Product Code:NFO

3. PREDICATE DEVICE

Name of Device:NūFACE® FIX Skin Toning Device
510(k) Number:K182424
This predicate device has not been subject to a design-related recall.

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4. DEVICE DESCRIPTION

  • FIX+ is a portable hand-held microcurrent stimulator for facial skin stimulation indicated for over-the-counter cosmetic use.
  • -Main components: Main unit, USB power cable, and NuFACE Line Smoothing FIX Serum conductivity gel.
  • Housing of the device made from Acrylonitrile Butadiene Styrene, with chrome-plated spherical probes.
  • Inclusion of three microcurrent output frequency levels. -
  • Integrated rechargeable lithium-ion battery -

5. INTENDED USE

The NuFACE® FIX+ Device is intended for facial stimulation.

6. INDICATIONS FOR USE

The NuFACE FIX+ Device is intended for facial stimulation and is indicated for over-the-counter cosmetic use.

7. DEVICE COMPONENTS

The following materials are expected to contact the user in normal use:

| Device

ComponentComposition
Two (x2) SpheresChromium plating
Handheld Unit
EnclosureAcrylonitrile Butadiene Styrene (ABS).

8. ACCESSORIES

AccessoriesDescription
FIX+ deviceNūFACE® FIX+
Power CordUSB-to-DC Power cable (Charge only)
Conductivity GelNūFACE® Line Smoothing FIX Serum
Sizes: 2 fl. oz. or 5 fl. oz.
To be applied before treatments

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9. DESIGN AND TECHNOLOGICAL SPECIFICATIONS

FIX+ is based on the design of the established NūFACE® FIX Skin Toning Device (predicate device - K182424). The primary distinction from the predicate device involves a slight modification in the shape and dimensions of the device housing, the inclusion of three (3) adjustable microcurrent output frequencies, and an increased microcurrent output intensity.

10. TECHNOLOGICAL CHARACTERISTICS COMPARISON

Technological Characteristics Comparison
CategoryNUFACE FIX+
(SUBJECT DEVICE)NUFACE FIX
Line Smoothing Device (PREDICATE)
Type of Energy
OutputMicrocurrentMicrocurrent
Energy DeliveryMicrocurrent is delivered via two fixed,
smooth spherical electrodesMicrocurrent is delivered via two fixed,
smooth spherical electrodes
Energy FlowMicrocurrent continuously alternates
between the positive and negative
electrode spheresMicrocurrent continuously alternates between
the positive and negative electrode spheres
Energy OutputConstant biphasic square
waveConstant biphasic square
wave
Energy Power
SourceInternal rechargeable batteryInternal rechargeable
battery
Battery TypeLithium IonLithium Ion
Charging
CircuitryInternal to DeviceInternal to Device
Charging MethodUSB Power CableUSB Power Cable
WaveformPulsed BiphasicPulsed Biphasic
ShapeModulated SquareModulated Square
Maximum Output
Voltage28 VDC28 VDC
SoftwareYesYes
FirmwareYesYes
Technological Characteristics Comparison
CategoryNuFACE FIX+
(SUBJECT DEVICE)NuFACE FIX
Line Smoothing Device (PREDICATE)
Microprocessor ControlYesYes
Output FrequencyVariable frequency
ranging from 8.3 Hz to
50.0 HzApproximately 8.3 Hz
Range of Output Frequency (Hz)Range of 2-50 Hz8.3 Hz
Wireless TechnologiesNoneNone
Wireless CapabilityNoneNone
Output Intensity (μA)225 μA200 μA
Maximum Output Current Density0.480 mA/cm20.418 mA/cm2

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510(k) SUMMARY NūFACE® FIX+

Table 4: Performance Specifications Comparison
CategoryNuFACE FIX+
(Subject Device)NuFACE FIX Line Smoothing Device
(Predicate)
Maximum Output
Current225 $ μ $ A @ 10000Ω208 $ μ $ A @ 500Ω
Output Current when
not stimulating30 day) repeated contact with human tissue. Biocompatibility evaluation endpoints were assessed in accordance with the "Evaluation of Endpoints for Consideration" detailed in Attachment A of the FDA's quidance document titled "Use of International Standard ISO 10993-1, Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing within a Risk Management Process." The FIX+ device was evaluated for Biocompatibility as a Surface Device with contact with intact skin with a long-term contact duration of greater than 30 days.

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12. CONCLUSION

The NuFACE® FIX+ is found to be substantially equivalent to its predicate, the NūFACE® FIX Line Smoothing Device (K182424). This determination is based on the similarity in intended use, indications for use, and the majority of the technological characteristics between the two devices. Although there are some differences in output characteristics like pulse width and frequency range, these do not affect the devices' clinical efficacy or intended cosmetic functions. The detailed analysis provided in the Substantial Equivalence Section of the premarket notification confirms that the observed technological differences do not introduce new safety and effectiveness concerns.