K Number
K974070
Device Name
PHYSIO/1000
Date Cleared
1998-01-06

(70 days)

Product Code
Regulation Number
880.5550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use of this product is for the healing of Decubitus Ulcers through the minimization of chronic localized occlusive pressures.
Device Description
Physio / 1000 Alternating Pressure Mattress System
More Information

Not Found

Not Found

No
The summary describes a physical device (alternating pressure mattress system) and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The device is intended for "healing of Decubitus Ulcers," which is a therapeutic purpose.

No
Explanation: The device is an "Alternating Pressure Mattress System" intended for the "healing of Decubitus Ulcers through the minimization of chronic localized occlusive pressures." This describes a therapeutic, not a diagnostic, function.

No

The device description explicitly states "Physio / 1000 Alternating Pressure Mattress System," which indicates a hardware component (a mattress system) is part of the device.

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

Here's why:

  • Intended Use: The intended use is for the healing of Decubitus Ulcers through physical means (minimizing pressure). This is a therapeutic intervention, not a diagnostic test performed in vitro (outside the body).
  • Device Description: The device is an "Alternating Pressure Mattress System," which is a physical medical device used for patient care, not for analyzing biological samples.
  • Lack of IVD Characteristics: The description lacks any mention of:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions based on in vitro analysis.

Therefore, the Physio / 1000 Alternating Pressure Mattress System is a therapeutic medical device, not an IVD.

N/A

Intended Use / Indications for Use

The intended use of this product is for the healing of Decubitus Ulcers through the minimization of chronic localized occlusive pressures.

Product codes

FNM

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5550 Alternating pressure air flotation mattress.

(a)
Identification. An alternating pressure air flotation mattress is a device intended for medical purposes that consists of a mattress with multiple air cells that can be filled and emptied in an alternating pattern by an associated control unit to provide regular, frequent, and automatic changes in the distribution of body pressure. The device is used to prevent and treat decubitus ulcers (bed sores).(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 880.9.

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Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its wing. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN - 6 1998

Mr. James Terracciano ·President Physio Designs, Incorporated 11 Arden Lane 11725 Commack, New York

Re : K974070 Physio/1000 Trade Name: Regulatory Class: II Product Code: FNM Dated: November 21, 1997 Received: December 01, 1997

Dear Mr. Terracciano:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is 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 device, 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 device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, 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. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Reqister. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

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Page 2 - Mr. Terracciano

through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact Also, please note the Office of Compliance at (301) 594-4639. 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,

Timothy A. Ulatowski

Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K974070

INDICATION FOR USE

510(k) Number:

Device Name:

Indication For Use:

' Per 21 CFR 801.109)

Physio / 1000 Alternating Pressure Mattress System

The intended use of this product is for the healing of Decubitus Ulcers through the minimization of chronic localized occlusive pressures.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Dental, Infection Control,
and General Hospital Devices
510(k) Number K974070

Prescription Use __ OR Over-The-Counter

Over-The-Counter Use ستو

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