K Number
K993229
Device Name
ANALGESIC PULSER, MODEL AP-439
Date Cleared
2001-02-02

(494 days)

Product Code
Regulation Number
882.5890
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
(A) Interferential current stimulation, Premodulated Bipolar Mode and Faradic Stimulation Mode is indicated for: 1. Symptomatic relief and management of chronic (long term) intractable pain. 2. Adjunctive treatment in the management of post-surgical and post-traumatic, acute pain conditions. (B) Electrical Muscle Stimulation ( Russian and Galvanic-Interrupted ) is indicated for: 1. Relaxation of Muscle spasm. 2. Prevention or Retardation of disuse atrophy. 3. Increasing local blood circulation. 4. Muscle re-education. 5. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis. 6. Maintaining or increasing range of motion. ( C) Galvanic-DC Continuous mode is indicated for :- 1. Relaxation of muscle spasm.
Device Description
ANALGESIC PULSER AP-439 is an electrical nerve muscle stimulator with two outputs and four channels. It offers various waveforms including Monophasic, Biphasic, Sinewave & D.C. Line. It has different modes of stimulation such as Faradic, Interferential, DC continuous, and DC Interrupted, with specified maximum output current and voltage for each. It also provides different modulation options for amplitude and frequency.
More Information

No
The description details standard electrical stimulation modalities and parameters without mentioning any adaptive, learning, or data-driven features characteristic of AI/ML. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
The device is indicated for symptomatic relief and management of pain, muscle spasm, and prevention of disuse atrophy, which are therapeutic applications.

No
The device description and intended use indicate that the ANALGESIC PULSER AP-439 is an electrical stimulator used for therapeutic purposes (pain relief, muscle stimulation) rather than for diagnosing conditions.

No

The device description explicitly states it is an "electrical nerve muscle stimulator with two outputs and four channels" and details various hardware specifications like waveforms, modes of stimulation, maximum output current and voltage, and modulation options. This indicates it is a physical hardware device, not software only.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that the ANALGESIC PULSER AP-439 is an electrical nerve muscle stimulator. It applies electrical currents to the body for therapeutic purposes (pain relief, muscle stimulation).
  • Intended Use: The intended uses listed are all related to applying electrical stimulation to the body for various physical therapy and pain management applications. There is no mention of analyzing samples from the body.

Therefore, this device falls under the category of a therapeutic electrical stimulator, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

(A) Interferential current stimulation, Premodulated Bipolar Mode and Faradic Stimulation Mode is indicated for:

  1. Symptomatic relief and management of chronic (long term) intractable pain.
  2. Adjunctive treatment in the management of post-surgical and post-traumatic, acute pain conditions.

(B) Electrical Muscle Stimulation (Russian and Galvanic-Interrupted) is indicated for:

  1. Relaxation of Muscle spasm.
  2. Prevention or Retardation of disuse atrophy.
  3. Increasing local blood circulation.
  4. Muscle re-education.
  5. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis.
  6. Maintaining or increasing range of motion.

(C) Galvanic-DC Continuous mode is indicated for:

  1. Relaxation of muscle spasm.

Product codes

GZJ, IPG, LIH

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

Physical Medicine by Clinicians and Therapists.

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)

K964028

Reference Device(s)

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).

0

MAR - 2 2001

510 (K):K993229(Revised submission)

SUMMARY

JOHARI ELECTRO TECH CO.

EC-2, Electronics Complex, Light Industrial Arca, Jodhpur 342003 (INDIA) PHONE: -91-291-741183 (F), 430028 (R) I AX: 91-291-742289 E-mail: joharis@ndf.vsnl.net.in

"510(k) Summary"

Submitter's nameJOHARI ELECTRO TECH CO.
AddressEC-2, Electronics Complex
Light Industrial Area
Jodhpur 342003
INDIA
Phone91-291-741183
FAX91-291-742289
E-mailjoharis@ndf.vsnl.net.in
Contact PersonMrs. Nisha JOHARI
Date of Summary
is submittedResubmitting on August 9th 2000

1

Device for which clearance is required

Trade Name :Analgesic Pulser AP-439
Common Name :Electrical Nerve Muscle Stimulator
Classification Name :Physical Medicine (Per 21 CFR Section 890) and
Neurology (Per 21 CFR Section 882.5890).

Legally Marketed Device I

| (a) Sys stim 226

(b) Sys stim 206:Muscle Stimulator510(k) Number K964028
Manufacturer:Mettler Electronics Corp.
Address:1333 S. Claudia St. Anaheim Ca. 92805
Tel.:001 (714) 533 2221

AP-439 has same intended use as predicate. Both the electrical stimulators are to be used in Physical Medicine by Clinicians and Therapists.

Intended Use of Sys Stim 226 and 206

    1. Symptomatic relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain (Interferential or Premodulated Waveforms).
  • Temporary relaxation of muscle spasm. 2.
    1. Prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscies.
    1. Increase of blood flow in the treatment area.
    1. Prevention or retardation of disuse atrophy in post-injury type conditions.
    1. Muscle re-education.
    1. Maintaining or increasing range of motion.

Legally Marketed Device II:

Sportx

: Pulsed Direct Current (Muscle) and Nerve Stimulator

Manufacturer : Staodyn

2

ANNEXURE 'VIT

: 1225 Florida Avenue, Longmont, Colorado 80502-1379, 1-800-Address: 343-0488 or 1-800-525-2114

The predicate Device Sportx from Staodyn is indicated for

Pulsed Direct Current (PDC) has been used successfully for many years for the reduction of edema, increase or decrease in blood flow, increase in range of motion and relief of muscle spasm. Transcutaneous Electrical Nerve Stimulation (TENS) has been used successfully for many years in the symptomatic relief and management of chronic, intractable pain or as an adjunctive treatment in the management of chronic, intractable pain or as an adjunctive treatment in the management of acute post-surgical or post-traumatic pain.

AP-439 --------

Indication for Use_(A) Interferential current stimulation, Premodulated Bipolar Mode and Faradic Stimulation Mode is indicated for:

  • Symptomatic relief and management of chronic (long 1. term) intractable pain.
  • Adjunctive treatment in the management of post-2. surgical and post-traumatic, acute pain conditions.

(B) Electrical Muscle Stimulation ( Russian and Galvanic-Interrupted ) is indicated for:

  • Relaxation of Muscle spasm. 1.
  • Prevention or Retardation of disuse atrophy. 2.
  • Increasing local blood circulation. 3.
  • Muscle re-education. 4.
  • Immediate post-surgical stimulation of calf muscles ળં to prevent venous thrombosis.
  • Maintaining or increasing range of motion 6.

( C) Galvanic-IX Continuous mode is indicated for :-

  • Relaxation of muscle spasm. 1.

3

ANNEXURE 'VIT

TECHNICAL SPECIFICATIONS

ANALGESIC PULSER AP-439

Power Source: 110V AC +/- 50Hz - 60Hz
Number of outputs: Two
Channels: Four
Synchronous: Yes
Max out put current: Faradic - 100 mA pp at 500 Ohm Load
Interferential - 72mA RMS (Root Mean Square)
at 500 Ohm Load
DC continuous - 30 mA at 500 Ohm Load
DC Interrupted - 92 mA at 500 Ohm Load
Max out put voltage: Faradic - 132 V peak to peak at load of 10K ohms
Interferential - 50 V RMS at load of 10K ohms
DC continuous - 28 V at load of 10K ohms
DC Interrupted - 60 V at load of 10K ohms.
Channel isolation: Yes, confirm to ANSI 3.2.3.2 , 1985.
Waveform: Monophasic, Biphasic, Sinewave & D.C. Line
Current density
on 2" diameter
electrodes: Interferential
3.55mA/Sq. cm on 500 ohm load
Galvanic (D.C. continuous)
1.5 mA/Sq. cm on 500 ohm load
Galvanic Interrupted
2.1mA/ Sq.cm on 500 Ohm Load
Faradic (Narrow Low Freq,
Wide Low Freq., Dual, Ramp Burst
Paired, Surge)
0.592 mA/Sq. cm on 500 ohm load
Power density
on 2" diameter
electrodesInterferential
0.127 W/Sq. cm on 500 ohm load
Galvanic (DC Continuos)
0.022 W/Sq. cm on 500 ohm load
Galvanic (DC Interrupt)
0.095 W/Sq. cm on 500 ohm load
Faradic (Narrow Low Freq,
Wide Low Freq., Dual, Ramp Burst
Paired, Surge)
0.029 W/Sq. cm on 500 ohm load
Max. phase chargeInterferential (Quadipolar, vector, premod)
at 500 Ohm4.5 micro coulomb
at 2 K Ohm1.5micro coulomb
at 10 K Ohm0.3micro coulomb
Interferential (Russian)
at 500 Ohm7.2 micro coulomb
at 2 K Ohm2.4micro coulomb
at 10 K Ohm0.5 micro coulomb
Galvanic (DC interrupted)
at 500 Ohm40 micro coulomb
at 2 K Ohm15 micro coulomb
at 10 K Ohm3.2 micro coulomb
Faradic (Narrow Low Freq,
Wide Low Freq., Dual, Ramp Burst
Paired, Surge)
at 500 Ohm20 micro coulomb
at 2 K Ohm9.6 micro coulomb
at 10 K Ohm3 micro coulomb
Modulation Options
AmplitudePreset IFT only
FrequencyIFT section only
Mechanical SpecificationsWeight 5.5 Lb, 12.2" (l)X 3.5" (h)X 7.5" (d)
Pulse widthFaradic: 100-400 (selectable)
IFT : 125 micro sec. phase interval
Russian :200Micro Seconds
Galvanic : D.C.

4

ANNEXURE 'VII

510 (K):K993229(Revised submission)

5

ANNEXURE 'VIT

DC interrupted: At values greater than 50%power the on DC interrupted. An values go the total time is 3.5 milli secs. At values lower than the 50 % power the on time is 800 micro secs. and total time is 3.5 millisecs.

Sys stim: 226

Waveform:Sinewave and biphasic rectangular pulse
Volts:65 V RMS at 1 K load (interferrential mode), 99 V pp at load of 1K ohms.(biphasic mode) 0-50 V RMS at 1 K ohms load.(Russian ,premodulated mode)
Current:65 mA RMS at 1 K load (interferrential mode), 99 mA peak at load of 1K ohms.(biphasic mode).0-50 mA RMS at 1 K ohms load.(Russian ,premodulated mode
Average current at
Max. intensity & freq.:65 mA (interferrential mode), 7.2 mA(biphasic mode)
50 mA.(Russian ,premodulated mode)
Max. current density :
Under 2" diameter
Electrode:3.2 mA/cm2 (interferrential mode), 0.36 mA/cm2(biphasic mode)
2.5 mA/cm2.(Russian ,premodulated mode
Phase duration:125 us (interferrential mode) ,50 -- 300 us (biphasic mode)
200 mA.(Russian )
Sys Stim 206
Waveform:Biphasic,monophasic pulse,DC.
Volts:0 -- 102 VDC
Current:100 mA peak, All pulsed Waveforms.
30 mA max. in Dc continuos.

Average current at: Max. intensity and freq.

6

ANNEXURE 'VIT

510 (K):K993229(Rcviscd submission)

:


Max. current density: Under 2" diameter Electrode:

| Phase duration: | Narrow pulse: 100 us followed by 400 us at ¼ amplitude of reverse polarity.
Wide pulse: 300 us followed by 1200 us at ¼ amplitude of reverse polarity.
AC: 300 us in each polarity
DC: DC Continuous |

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Sports

| Waveform: | Multiplexed symmetrical rectangular biphasic and unbalanced
symmetrical rectangular triphasic. |
|---------------------------------------------------------|---------------------------------------------------------------------------------------------------|
| Volts: | 100 V at load of 2 K ohms. |
| Current : | 100 mA at load of 500 ohms. |
| Average current at:
Max. intensity & freq. | ---- |
| Max. current density
Under 2" diameter
Electrode: | ---- |
| Phase duration: | Symmetrical biphasic: 1800 us
Unbalanced triphasic 1800 us and 900 us |

7

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/7/Picture/2 description: The image shows a black and white logo. The logo features a stylized depiction of an eagle or bird in flight, composed of three curved lines. The bird is encircled by text, which appears to be part of the logo's design. The text is arranged in a circular fashion around the bird, completing the overall design of the logo.

MAR - 2 2001

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Nisha Johari Director of Marketing Johari Electro-Tech Company Vandana, 28 Nehru Park Jodhpur-342003, India

Re: K993229 Trade Name: Analgesic Pulser, Model AP-439 Regulatory Class: II Product Code: GZJ, IPG and LIH Dated: December 1, 2000 Received: December 5, 2000

Dear Ms. Johari:

We have reviewed your Section 510(k) notification of intent to market the device referenced we have heve hour your books. Is substantially equivalent (for the indications for use above and we have active as marketed in interstate commerce prior to May 28, 1976, the shared in the onemales) to concession incents, or to devices that have been reclassified in enacinent daily of the Modical Dortes Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general therefore, mainer and act reasyode requirements for annual registration, listing of devices, Controlis of the rest the receive, 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 (1 remarker ripp. over device the Code of Federal Regulations, 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 mispections) the Food and Date in any result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission 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.

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

8

Page 2 - Ms. Nisha Johari

If you desire specific advice for your device 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) 594-4659. Additionally, for questions on the promotion and advertising of your device, 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,

Miriam C. Provost

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

Enclosure

9

ANNEXURE VIT

DEVICE NAME: ANALGESIC PULSER AP-439

INDICATION FOR USE . (A) Interferential current stimulation , Premodulated Bipolar Mode and Faradic Stimulation Mode is indicated for,

1 Symptomatic relief and management of chronic (long term) intractable pain.

2 Adjunctive treatment in the management of post-surgical and post-traumatic, acute pain conditions.

(B) Flectrical Muscle Stimulation ( Russian and Galvanic-Interrupted ) is indicated for:

  • Relaxation of Muscle spasm. 1.
  • Prevention or Retardation of disuse atrophy. 2.
  • Increasing local blood circulation. 3.
  • Muscle re-education. 4.

Immediate post-surgical stimulation of calf muscles న్న to prevent venous thrombosis.

  • Maintaining or increasing range of motion 6.
    ( C) Galvanic-DC Continuous mode is indicated for:-

  • Relaxation of muscle spasm. 1.
    Concurrence of CDRH, Office of Device Evaluation (ODE)

V Prescription Use Over-The-Counter-Use __________ :

. OR

NISSAS

rav

(Per 21CFR 801.109)

(Optional Hormat 1-2-96)

Murani C. Provost
8.1

(Division Sign-Off) Division of General, Restorative and Neurological Devices

1993229 510(k) Number _