K Number
K973537
Device Name
PATHWAY ELECTROMYOGRAPH
Date Cleared
1997-12-17

(90 days)

Product Code
Regulation Number
882.5050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Surface electromyography is a safe and effective technique for relaxation training and muscle re-education. Using internal perineometer electrodes such as the PerryVaginal: EMG biofeedback is a safe and effective technique for the assessment and treatment of pelvic floor dysfunction, monitoring the performance of Keyel exercises. The pelvic floor muscles include the Levator Ani group as well as the pubococcygeus (PC), ileococcygeus, and coccygeus. These are skeletal muscles which respond to re-education, strengthening, endurance building, and relaxation. Conditions that can be assessed or treated using this technique include: stress incontinence, mixed incontinence, and urge incontinence.
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided text does not contain any mentions of AI, ML, deep learning, or related concepts. The description focuses on the intended use and mechanism of action (EMG biofeedback) which is a traditional medical technology.

Yes
The intended use explicitly states the device is for "assessment and treatment of pelvic floor dysfunction" and "monitoring the performance of Keyel exercises" for conditions like "stress incontinence, mixed incontinence, and urge incontinence," which are all therapeutic applications.

Yes

The "Intended Use / Indications for Use" section explicitly states "assessment and treatment of pelvic floor dysfunction" and "Conditions that can be assessed or treated using this technique include: stress incontinence, mixed incontinence, and urge incontinence." The term "assessment" clearly indicates a diagnostic purpose.

No

The description explicitly mentions "internal perineometer electrodes such as the PerryVaginal: EMG biofeedback". This indicates the device includes hardware components (electrodes and likely a biofeedback unit) in addition to any potential software.

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

Here's why:

  • IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • This device uses surface electromyography and internal perineometer electrodes to assess and treat pelvic floor muscle function. This involves measuring electrical activity from muscles in vivo (within the living body), not analyzing in vitro (outside the body) specimens.

The intended use clearly describes a technique for relaxation training, muscle re-education, assessment, and treatment of pelvic floor dysfunction by interacting directly with the patient's muscles. This falls outside the scope of IVD devices.

N/A

Intended Use / Indications for Use

Surface electromyography is a safe and effective technique for relaxation training and muscle re-education.

Using internal perineometer electrodes such as the PerryVaginal: EMG biofeedback is a safe and effective technique for the assessment and treatment of pelvic floor dysfunction, monitoring the performance of Keyel exercises. The pelvic floor muscles include the Levator Ani group as well as the pubococcygeus (PC), ileococcygeus, and coccygeus. These are skeletal muscles which respond to re-education, strengthening, endurance building, and relaxation.

Conditions that can be assessed or treated using this technique include: stress incontinence, mixed incontinence, and urge incontinence.

Product codes

HCC

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

pelvic floor

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription 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)

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.5050 Biofeedback device.

(a)
Identification. A biofeedback device is an instrument that provides a visual or auditory signal corresponding to the status of one or more of a patient's physiological parameters (e.g., brain alpha wave activity, muscle activity, skin temperature, etc.) so that the patient can control voluntarily these physiological parameters.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter when it is a prescription battery powered device that is indicated for relaxation training and muscle reeducation and prescription use, subject to § 882.9.

0

Image /page/0/Picture/2 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a symbol. The symbol consists of three stylized human profiles facing to the right, with the profiles overlapping each other. The profiles are connected to a base that resembles a stylized wave or curve.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Peter A. Sullivan Engineer The Prometheus Group 2 Mallards Cove Duxbury, Massachusetts 02332

DEC 17 1997

Re: K973537

Trade Name: Pathway TR-10. TR-10C, TR-20, TR20C Regulatory Class: II Product Code: HCC Dated: September 16, 1997 Received: September 18, 1997

Dear Mr. Sullivan:

We have reviewed your Section 510(k) notification of intent to market the devices referenced above and we have determined the devices are substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the devices, subject to the general controls provisions of the Act. 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.

If your devices are classified (see above) into either class II (Special Controls) or class III (Premarket Approval), they may be subject to such additional controls. Existing major regulations affecting your devices can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements , as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. In addition, FDA may publish further announcements concerning your devices in the Federal Register. Please note: this response to your premarket notification submissions does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

1

Page 2 - Mr. Peter A. Sullivan

This letter will allow you to begin marketing your devices as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your devices to a legally marketed predicate device results in a classification for your devices and thus, permits your devices to proceed to the market.

If you desire specific advice for your devices on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4595. Additionally, for questions on the promotion and advertising of your devices, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

STATEMENT of INDICATIONS for USE

510(k) Number (if known): K973537 Device Name: Pathway TR-10, TR-10C, TR-20, TR20C

Indications for Use:

l

Surface electromyography is a safe and effective technique for relaxation training and muscle re-education.

Using internal perineometer electrodes such as the PerryVaginal: EMG biofeedback is a safe and effective technique for the assessment and treatment of pelvic floor dysfunction, monitoring the performance of Keyel exercises. The pelvic floor muscles include the Levator Ani group as well as the pubococcygeus (PC), ileococcygeus, and coccygeus. These are skeletal muscles which respond to re-education, strengthening, endurance building, and relaxation.

Conditions that can be assessed or treated using this technique include: stress incontinence, mixed incontinence, and urge incontinence.

Concurrence of CDRH, Office of Device Evaluation (ODE)

E)

(Division Sign-Off) Division of General Restorative Device 510(k) Number

  1. 2

Prescription Use_ X ____________________________________________________________________________________________________________________________________________________________________________ (Per 21 CFR 801.109)

OR

Over-the-Counter Use _________________________________________________________________________________________________________________________________________________________