← Product Code [IMG](/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IMG) · K111482

# SONICATOR PLUS 920 (K111482)

_Mettler Electronics Corp. · IMG · Aug 25, 2011 · Physical Medicine · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IMG/K111482

## Device Facts

- **Applicant:** Mettler Electronics Corp.
- **Product Code:** [IMG](/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IMG.md)
- **Decision Date:** Aug 25, 2011
- **Decision:** SESE
- **Submission Type:** Special
- **Regulation:** 21 CFR 890.5860
- **Device Class:** Class 2
- **Review Panel:** Physical Medicine
- **Attributes:** Therapeutic

## Indications for Use

Therapeutic Ultrasound Application of therapeutic deep heat for the treatment of selected sub-chronic and chronic medical conditions such as; 1. Relief of pain, muscle spasms and joint contractures: 2. Relief of pain, muscle spasms and joint contractures that may be associated with: · Adhesive capsulitis · Bursitis with slight calcification · Myositis · Soft tissue injuries · Shortened tendons due to past injuries and scar tissues 3. Relief of pain, muscle spasms and joint contractures resulting from: · Capsular tightness · Capsular tightening 4-Pole Interferential, 2-Pole Interferential, TENS and Microcurrent waveforms 1. Symptomatic relief of chronic intractable pain 2. Post-traumatic pain 3. Post-surgical pain EMS, TENS, Hi Volt and Russian waveforms 1. Relaxation of muscle spasms 2. Increase local blood circulation 3. Prevention or retardation of disuse atrophy 4. Muscle re-education 5. Maintaining or increasing range of motion 6. Immediate post surgical stimulation of calf muscles to prevent venous thrombosis DC (Direct Current) 1. Relaxation of muscle spasms

## Device Story

Sonicator® Plus 920 is a two-channel combination unit for therapeutic ultrasound and muscle stimulation; used in clinical settings by healthcare professionals. Device inputs include user-selected treatment parameters via membrane panel or touch-sensitive screen. It delivers 1 and 3 MHz ultrasound via dual-frequency applicators and various electrical stimulation waveforms (Interferential, Russian, EMS, High Volt, TENS, microcurrent, DC). Microprocessor-controlled system allows simultaneous use of two different waveforms. Output is delivered to patient via applicators or electrodes. Clinicians use preset or customized protocols to manage pain, muscle spasms, and joint contractures. Benefits include deep heat therapy, muscle re-education, and circulation improvement. Device features automatic overload, over-current, and no-load trips for safety.

## Clinical Evidence

Bench testing only. No clinical data provided. Performance was verified through comparative bench testing of electrical and ultrasonic output specifications against the predicate device.

## Technological Characteristics

Metal casing; microprocessor-controlled; 1 and 3 MHz ultrasound; electrical stimulation waveforms (Interferential, Russian, EMS, High Volt, TENS, microcurrent, DC). Standards: ISO 14971, UL 2601-1, CSA C22.2 No 601.1-M90, IEC/EN 60601-1, IEC/EN 60601-1-2, IEC/EN 60601-2-5, IEC/EN 60601-2-10, 21 CFR 1050.10. Connectivity: Standalone AC line powered.

## Regulatory Identification

An ultrasound and muscle stimulator for use in applying therapeutic deep heat for selected medical conditions is a device that applies to specific areas of the body ultrasonic energy at a frequency beyond 20 kilohertz and that is intended to generate deep heat within body tissues for the treatment of selected medical conditions such as relief of pain, muscle spasms, and joint contractures, but not for the treatment of malignancies. The device also passes electrical currents through the body area to stimulate or relax muscles.

## Predicate Devices

- Sonicator® Plus 940, Model ME 940 ([K071137](/device/K071137.md))

## Submission Summary (Full Text)

> This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com.
>
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K111482

ા હાંડ

# 510(k) SUMMARY

# SONICATOR® PLUS 920, ME 920

Submitter's Name: Address:

Mettler Electronics Corp. 1333 South Claudina Street Anaheim, CA 92805

Telephone: Fax:

714-533-2221 X331 714-635-7539

Contact:

Christina Cayuela QS/RA Manager

Date Prepared: March 17, 2011

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AUG 2 5 2011

### Proposed Device Name:

a. TRADE NAME: Sonicator® Plus 920 , Model ME 920 b. CLASSIFICATION NAME: Ultrasound and muscle stimulator (Sec. 890.5860. Product Code IMG) c. COMMON NAME: Combination Ultrasound and Muscle Stimulator

### Predicate Device:

## TRADE NAME: Sonicator® Plus 940, Model ME 940 510(k) Number: K071137

### Description of Proposed Device:

The Sonicator® Plus 920, Model ME 920 is a two-channel combination unit for therapeutic ultrasound and muscle stimulation. The microprocessor controlled Sonicator® Plus 920 provides interferential (4-pole), pre-modulated(2-pole interferential), medium frequency (Russian), EMS, High Volt, TENS, microcurrent and direct current (DC) waveforms with enhanced reliability and ease of use. In addition the Sonicator® Plus 920 offers 1 and 3 MHz ultrasound using dual frequency 5.5 cm2 applicator. An optional 0.9 cm applicator at 1 and 3 MHz is also available.

The two-channel Sonicator® Plus 920 allows the clinician to utilize up to two different waveforms using two channels simultaneously. They can choose between several different amplitude modulation options such as the surge, reciprocation and vector sweep The interferential and pre-modulated modes offer frequency modulation as well as a static frequency option.

The Sonicator Plus provides both a membrane panel and a touchsensitive screen to allow you to quickly set up treatments. 90 preset treatment setups allow quick set up of a treatment that is already in the memory, plus any of these programs may be customized with the clinician's own treatment protocols.

The Sonicator® Plus 920 can provide electrical stimulation only, ultrasound only and combination therapy with the pre-modulated, TENS, High Voltage, microcurrent and DC waveforms.

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## INDICATIONS FOR USE STATEMENT SONICATOR® PLUS 920, ME 920

510(k) Number: k111482

Device Name: Sonicator® Plus 920, Model ME 920

Proposed Device Indications for Use (same as those for predicate device):

### Therapeutic Ultrasound

Application of therapeutic deep heat for the treatment of selected sub-chronic and chronic medical conditions such as;

- 1. Relief of pain, muscle spasms and joint contractures:
- 2. Relief of pain, muscle spasms and joint contractures that may be associated with:
	- · Adhesive capsulitis
	- · Bursitis with slight calcification
	- · Myositis
	- · Soft tissue injuries
	- · Shortened tendons due to past injuries and scar tissues
- 3. Relief of pain, muscle spasms and joint contractures resulting from:
	- · Capsular tightness
	- · Capsular tightening

### 4-Pole Interferential, 2-Pole Interferential, TENS and Microcurrent waveforms

- Symptomatic relief of chronic intractable pain 1.
- 2. Post-traumatic pain
- 3. Post-surgical pain

### EMS, TENS, Hi Volt and Russian waveforms

- 1. Relaxation of muscle spasms
- 2. Increase local blood circulation
- 3. Prevention or retardation of disuse atrophy
- 4. Muscle re-education
- ഗ് Maintaining or increasing range of motion
- Q. Immediate post surgical stimulation of calf muscles to prevent venous thrombosis

### DC (Direct Current)

- Relaxation of muscle spasms 1.

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K111482 4 of 15

# Comparison of Technological Characteristics Between Proposed and Predicate Devices:

| Section 2 |                                                        |                            |                            |
|-----------|--------------------------------------------------------|----------------------------|----------------------------|
| 1.        | 510 K #                                                | K071137                    | K                          |
| 2.        | Device Name                                            | Sonicator® Plus 940        | Sonicator® Plus 920        |
| 3.        | Manufacturer                                           | Mettler Electronics        | Mettler Electronics        |
| 4.        | Power Source                                           | AC line                    | AC line                    |
|           | Line Current<br>Isolation                              | Reinforced insulation      | Reinforced insulation      |
|           | Max Leakage Current<br>(µA)                            |                            |                            |
|           | Chassis                                                | >50 under SFC              | > 50 under SFC             |
|           | Electrodes                                             | >50 under SFC              | >100 under SFC             |
| 5.        | Number Of Output<br>Modes                              | 8                          | 8                          |
| 6.        | Channel(s)                                             | 4                          | 2                          |
|           | Synchronous                                            | 1 & 2 or 3 & 4             | 1 & 2                      |
|           | Reciprocal                                             | 1 & 2 or 3 & 4             | 1 & 2                      |
|           | Other                                                  | Yes                        | Yes                        |
| 7.        | Constant Current                                       | Yes                        | Yes                        |
|           | Constant Voltage                                       | No                         | No                         |
| 8.        | Software / Firmware / Yes<br>Microprocessor<br>Control |                            | Yes                        |
| 9.        | Automatic Overload<br>Trip                             | Yes                        | Yes                        |
|           | Automatic Over<br>Current Trip                         | Yes                        | Yes                        |
| 10.       | Automatic No Load<br>Trip                              | Yes                        | Yes                        |
| 11.       | Automatic Shut Off                                     | Yes                        | Yes                        |
| 12.       | Patient Override<br>Control Method                     | No<br>On/Off, Hold or Stop | No<br>On/Off, Hold or Stop |
| 13.       | Indicator Display                                      |                            |                            |
|           | On / Off Status                                        | Yes                        | Yes                        |
|           | Voltage/Current<br>Level                               | Yes                        | Yes                        |
|           | Low Battery<br>Indicator                               | N/A                        | N/A                        |
| 14.       | Timer Display:                                         | 0 - 60 minutes             | 0 - 60 minutes             |
| 15.       | Standards<br>ISO 14971 : 2000                          | Yes                        | Yes                        |
|           | UL 2601-1                                              | Yes                        | Yes                        |
|           | CSA C22.2 NO<br>601.1-M90                              | Yes                        | Yes                        |
|           | IEC/EN 60601-1                                         | Yes                        | Yes                        |
|           | IEC/EN 60601-1-2                                       | Yes                        | Yes                        |
|           | IEC/EN 60601-2-10                                      | Yes                        | Yes                        |
|           | MDD 93/42/EEC,<br>Annex II                             | Yes                        | Yes                        |
| 16.       | Compliance with<br>21 CFR 898                          | Yes                        | Yes                        |
| 17.       | Weight (lbs.)                                          | 11                         | 11                         |
| 18.       | Dimensions (in.) Hxw<br>x L                            | 4.9 x 13.6 x x 10.5        | 4.9 x 13.6 x x 10.5        |
| 19.       | Housing Materials &<br>Construction                    | Metal Casing               | Metal Casing               |

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# Neuromuscular Stimulation, section 3

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| 510 K #<br>Device Name<br>Manufacturer · | K071137<br>Sonicator® Plus 940<br>Mettler Electronics | K<br>Sonicator® Plus 920<br>Mettler Electronics |
|------------------------------------------|-------------------------------------------------------|-------------------------------------------------|
| Waveform                                 |                                                       |                                                 |
| EMS                                      | Biphasic                                              | Biphasic                                        |
| TENS                                     | Biphasic                                              | Biphasic                                        |
| Hi Volt                                  | Pulsed Monophasic and Biphasic                        | Pulsed Monophasic and Biphasic                  |
| Russian                                  | Biphasic                                              | Biphasic                                        |
| Shape                                    |                                                       |                                                 |
| EMS                                      | Sinusidal                                             | Sinusidal                                       |
| TENS                                     | Square                                                | Square                                          |
| Hi Volt                                  | Twin spike                                            | Twin spike                                      |
| Russian                                  | Gated Sinusoidal                                      | Gated Sinusoidal                                |
| Max Output Voltage (V)<br>±20%           |                                                       |                                                 |
| 500 Ω                                    |                                                       |                                                 |
| EMS                                      | 49                                                    | 50                                              |
| TENS                                     | 46                                                    | 50                                              |
| Hi Volt                                  | 146                                                   | 155                                             |
| Russian                                  | 50                                                    | 50                                              |
| 2 kΩ                                     |                                                       |                                                 |
| EMS                                      | 115                                                   | 115                                             |
| TENS                                     | 100                                                   | 110                                             |
| Hi Volt                                  | 155                                                   | 170                                             |
| Russian                                  | 110                                                   | 110                                             |
| 10 kΩ                                    |                                                       |                                                 |
| EMS                                      | 120                                                   | 120                                             |
| TENS                                     | 105                                                   | 115                                             |
| Hi Volt                                  | 190                                                   | 220                                             |
| Russian                                  | 120                                                   | 120                                             |
| Max Output Current<br>(mA) ±20%          |                                                       |                                                 |
| 500 Ω                                    |                                                       |                                                 |
| EMS                                      | 98                                                    | 100                                             |
| TENS                                     | 90                                                    | 100                                             |
| Hi Volt                                  | 292                                                   | 310                                             |
| Russian                                  | 100                                                   | 100                                             |
| 2 kΩ                                     |                                                       |                                                 |
| EMS                                      | 57                                                    | 58                                              |
| TENS                                     | 50                                                    | 55                                              |
| Hi Volt                                  | 78                                                    | 85                                              |
| Russian                                  | 55                                                    | 55                                              |
| 10 kΩ                                    |                                                       |                                                 |
| EMS                                      | 12                                                    | 12                                              |
| TENS                                     | 10.5                                                  | 12                                              |
| Hi Volt                                  | 19                                                    | 22                                              |
| Russian                                  | 12                                                    | 12                                              |
| Pulse Width Range                        |                                                       |                                                 |
| EMS                                      | 500, 250, 200 µs                                      | 500, 250, 200 µs                                |
| TENS                                     | 100 - 600 µs                                          | 100 - 600 µs                                    |
| Hi Volt                                  | 10 - 80 µs                                            | 10 - 80 µs                                      |
| Russian                                  | 400 µs                                                | 400 µs                                          |
| Frequency (Hz)                           |                                                       |                                                 |
| EMS                                      | 2 kHz, 4 kHz, 5 kHz                                   | 2 kHz, 4 kHz, 5 kHz                             |
|                                          |                                                       |                                                 |
| TENS                                     | 0.5 - 250 Hz                                          | 0.5 - 250 Hz                                    |
| Hi Volt                                  | 0.5 - 200 Hz                                          | 0.5 - 200 Hz                                    |
| Russian                                  | 2.5 kHz                                               | 2.5 kHz                                         |
| Beat Frequency (Hz)                      |                                                       |                                                 |
| Interferential, 2-pole,<br>Premodulated  | 1 - 250 Hz                                            | 1 - 250 Hz                                      |
| Multiphasic<br>Waveforms                 |                                                       |                                                 |
| Symmetrical Phases?                      |                                                       |                                                 |
| EMS                                      | Yes                                                   | Yes                                             |
| TENS                                     | Yes                                                   | Yes                                             |
| Hi Volt                                  | Yes                                                   | Yes                                             |
| Russian                                  | Yes                                                   | Yes                                             |
| Phase Duration                           |                                                       |                                                 |
| EMS                                      | 250, 125, 100 us                                      | 250, 125, 100 µs                                |
| TENS                                     | 50 - 300 us                                           | 50 - 300 µs                                     |
| Hi Volt                                  | 10 - 80 us                                            | 10 - 80 µs                                      |
| Russian                                  | 200 us                                                | 200 us                                          |
| Net Charge                               | Zero                                                  | Zero                                            |
| Symmetry                                 | Symmetric                                             | Symmetric                                       |
| Method                                   | Balanced                                              | Balanced                                        |
| Maximum Phase Charge<br>(µC)             |                                                       |                                                 |
| 500 Q                                    |                                                       |                                                 |
| EMS                                      | 12.7                                                  | 15.9                                            |
| TENS                                     | 80                                                    | 60                                              |
| Hi Volt                                  | 48                                                    | 48                                              |
| Russian                                  | 12.7                                                  | 15.9                                            |
| Maximum Current<br>Density               |                                                       |                                                 |
| (mA/cm2, 500 Ω)                          |                                                       |                                                 |
| EMS                                      | 2.96*                                                 | 2.46                                            |
| TENS                                     | 1.91*                                                 | 1.97                                            |
| Hi Volt                                  | 1.87*                                                 | 2.32                                            |
| Russian                                  | 3.50*                                                 | 3.45                                            |
| Maximum Power Density                    |                                                       |                                                 |
| (W/cm², 500 Ω)                           |                                                       |                                                 |
| EMS                                      | 0.089                                                 | 0.062                                           |
| TENS                                     | 0.037                                                 | 0.039                                           |
|                                          |                                                       |                                                 |
| Hi Volt                                  | 0.035                                                 | 0.054                                           |
| Russian                                  | 0.121                                                 | 0.121                                           |
| Burst Mode                               |                                                       |                                                 |
| a. Pulses per burst                      |                                                       |                                                 |
| EMS                                      | N/A                                                   | N/A                                             |
| TENS                                     | 7                                                     | 7                                               |
| Hi Volt                                  | 7                                                     | 7                                               |
| Russian                                  | N/A                                                   | N/A                                             |
| b. Bursts per second                     |                                                       |                                                 |
| EMS                                      | N/A                                                   | N/A                                             |
| TENS                                     | 0.5, 0.7, 1, 2, 3, 4, 5, 6, 7                         | 0.5, 0.7, 1, 2, 3, 4, 5, 6, 7                   |
| Hi Volt                                  | 0.5, 0.7, 1, 2, 3, 4, 5, 6, 7                         | 0.5, 0.7, 1, 2, 3, 4, 5, 6, 7                   |
| Russian                                  | 0 - 100                                               | 0 - 100                                         |
| c. Burst duration (ms)                   |                                                       |                                                 |
| EMS                                      | N/A                                                   | N/A                                             |
| TENS                                     | 70                                                    | 70                                              |
| Hi Volt                                  | 120                                                   | 120                                             |
| Russian                                  | 2, 4, 6......20                                       | 2, 4, 6......20                                 |
| d. Duty Cycle (b x c)                    |                                                       |                                                 |
| EMS                                      | N/A                                                   | N/A                                             |
| TENS                                     | 3.6 - 77.8 %                                          | 3.6 - 77.8 %                                    |
| Hi Volt                                  | 6.3 % to 85.7 %                                       | 6.3 % to 85.7 %                                 |
| Russian                                  | 10, 20, 30, ........100%                              | 10, 20, 30, ........100%                        |
| On Time (ms)                             |                                                       |                                                 |
| EMS                                      | 1 - 99                                                | 1 - 99                                          |
| TENS                                     | 1 - 30                                                | 1 - 30                                          |
| Hi Volt                                  | 1 - 30                                                | 1 - 30                                          |
| Russian                                  | 1 - 30                                                | 1 - 30                                          |
| Off Time (s)                             |                                                       |                                                 |
| EMS                                      | 1 - 99                                                | 1 - 99                                          |
| TENS                                     | 1 - 99                                                | 1 - 99                                          |
| Hi Volt                                  | 1 - 99                                                | 1 - 99                                          |
| Russian                                  | 1 - 99                                                | 1 - 99                                          |

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K111482 9 of 15

# Pain Management, Section 3

·

ﺃ –

| 510 K #                                      | K071137                                                                                                                                                                                                                          | K                                                                                                                                                                                                                                |
|----------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Name                                  | Sonicator® Plus 940                                                                                                                                                                                                              | Sonicator® Plus 920                                                                                                                                                                                                              |
| Manufacturer                                 | Mettler Electronics                                                                                                                                                                                                              | Mettler Electronics                                                                                                                                                                                                              |
| Waveform                                     |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | Biphasic                                                                                                                                                                                                                         | Biphasic                                                                                                                                                                                                                         |
| Interferential, 2-pole,<br>Premodulated      | Biphasic                                                                                                                                                                                                                         | Biphasic                                                                                                                                                                                                                         |
| TENS                                         | Biphasic                                                                                                                                                                                                                         | Biphasic                                                                                                                                                                                                                         |
| Microcurrent                                 | Biphasic and pulsed monophasic                                                                                                                                                                                                   | Biphasic and pulsed monophasic                                                                                                                                                                                                   |
| Shape                                        |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | Sinusidal                                                                                                                                                                                                                        | Sinusidal                                                                                                                                                                                                                        |
| Interferential, 2-pole,<br>Premodulated      | Sinusidal                                                                                                                                                                                                                        | Sinusidal                                                                                                                                                                                                                        |
| TENS                                         | Square                                                                                                                                                                                                                           | Square                                                                                                                                                                                                                           |
| Microcurrent                                 | Square                                                                                                                                                                                                                           | Square                                                                                                                                                                                                                           |
| Max Output Voltage (V)<br>±20%               |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| 500 Ω                                        |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 48                                                                                                                                                                                                                               | 50                                                                                                                                                                                                                               |
| Interferential, 2-pole,<br>Premodulated      | 49                                                                                                                                                                                                                               | 50                                                                                                                                                                                                                               |
| TENS                                         | 46                                                                                                                                                                                                                               | 50                                                                                                                                                                                                                               |
| Microcurrent                                 | 0.38                                                                                                                                                                                                                             | 0.37                                                                                                                                                                                                                             |
| 2 kΩ                                         |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 110                                                                                                                                                                                                                              | 115                                                                                                                                                                                                                              |
| Interferential, 2-pole,<br>Premodulated      | 115                                                                                                                                                                                                                              | 110                                                                                                                                                                                                                              |
| TENS                                         | 100                                                                                                                                                                                                                              | 115                                                                                                                                                                                                                              |
| Microcurrent                                 | 1.55                                                                                                                                                                                                                             | 1.5                                                                                                                                                                                                                              |
| 10 KΩ                                        |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 120                                                                                                                                                                                                                              | 120                                                                                                                                                                                                                              |
| Interferential. 2-pole,<br>Premodulated      | 120                                                                                                                                                                                                                              | 115                                                                                                                                                                                                                              |
| TENS                                         | 105                                                                                                                                                                                                                              | 125                                                                                                                                                                                                                              |
| Microcurrent                                 | 7.5                                                                                                                                                                                                                              | 7.4                                                                                                                                                                                                                              |
| Max Output Current<br>(mA) ±20%              |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| 500 Ω                                        |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 96                                                                                                                                                                                                                               | 100                                                                                                                                                                                                                              |
| Interferential, 2-pole,<br>Premodulated      | 98                                                                                                                                                                                                                               | 100                                                                                                                                                                                                                              |
| TENS                                         | 90                                                                                                                                                                                                                               | 100                                                                                                                                                                                                                              |
| Microcurrent                                 | 0.760                                                                                                                                                                                                                            | 0.74                                                                                                                                                                                                                             |
| 2 kΩ                                         |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 55                                                                                                                                                                                                                               | 58                                                                                                                                                                                                                               |
| Interferential, 2-pole,<br>Premodulated      | 57                                                                                                                                                                                                                               | 55                                                                                                                                                                                                                               |
| TENS                                         | 50                                                                                                                                                                                                                               | 58                                                                                                                                                                                                                               |
| Microcurrent                                 | 0.780                                                                                                                                                                                                                            | 0.75                                                                                                                                                                                                                             |
| 10 kΩ                                        |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 12                                                                                                                                                                                                                               | 12                                                                                                                                                                                                                               |
| Interferential, 2-pole,<br>Premodulated      | 12                                                                                                                                                                                                                               | 12                                                                                                                                                                                                                               |
| TENS                                         | 10.5                                                                                                                                                                                                                             | 13                                                                                                                                                                                                                               |
| Microcurrent                                 | 0.750                                                                                                                                                                                                                            | 0.74                                                                                                                                                                                                                             |
| Pulse Width Range                            |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 500, 250, 200 μs                                                                                                                                                                                                                 | 500, 250, 200 μs                                                                                                                                                                                                                 |
| Interferential, 2-pole,<br>Premodulated      | 500, 250, 200 μs                                                                                                                                                                                                                 | 500, 250, 200 μs                                                                                                                                                                                                                 |
| TENS                                         | 100 - 600 μs                                                                                                                                                                                                                     | 100 - 600 μs                                                                                                                                                                                                                     |
| Microcurrent                                 | 1.25 ms - 1.67 s                                                                                                                                                                                                                 | 1.25 ms - 1.67 s                                                                                                                                                                                                                 |
| Frequency (Hz)                               |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 2 kHz, 4 kHz, 5 kHz                                                                                                                                                                                                              | 2 kHz, 4 kHz, 5 kHz                                                                                                                                                                                                              |
| Interferential, 2-pole,<br>Premodulated      | 2 kHz, 4 kHz, 5 kHz                                                                                                                                                                                                              | 2 kHz, 4 kHz, 5 kHz                                                                                                                                                                                                              |
| TENS                                         | 0.5 - 250 Hz                                                                                                                                                                                                                     | 0.5 - 250 Hz                                                                                                                                                                                                                     |
| Microcurrent                                 | 0.3 - 400 Hz                                                                                                                                                                                                                     | 0.3 - 400 Hz                                                                                                                                                                                                                     |
| Beat Frequency (Hz)                          |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 1 - 250 Hz                                                                                                                                                                                                                       | 1 - 250 Hz                                                                                                                                                                                                                       |
| Interferential, 2-pole,<br>Premodulated      | 1 - 250 Hz                                                                                                                                                                                                                       | 1 - 250 Hz                                                                                                                                                                                                                       |
| Multiphasic<br>Waveforms............         |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Symmetrical Phases?                          |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | Yes                                                                                                                                                                                                                              | Yes                                                                                                                                                                                                                              |
| Interferential, 2-pole,                      | Yes                                                                                                                                                                                                                              | Yes                                                                                                                                                                                                                              |
| Premodulated                                 |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| TENS                                         | Yes                                                                                                                                                                                                                              | Yes                                                                                                                                                                                                                              |
| Microcurrent                                 | Yes                                                                                                                                                                                                                              | Yes                                                                                                                                                                                                                              |
| Phase Duration                               |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 250, 125, 100 μs                                                                                                                                                                                                                 | 250, 125, 100 μs                                                                                                                                                                                                                 |
| Interferential, 2-pole,<br>Premodulated      | 250, 125, 100 μs                                                                                                                                                                                                                 | 250, 125, 100 μs                                                                                                                                                                                                                 |
| TENS                                         | 50 - 300 μs                                                                                                                                                                                                                      | 50 - 300 μs                                                                                                                                                                                                                      |
| Microcurrent                                 | 1.25 ms - 1.67 s                                                                                                                                                                                                                 | 1.25 ms - 1.67 s                                                                                                                                                                                                                 |
| Net Charge                                   | Zero                                                                                                                                                                                                                             | Zero                                                                                                                                                                                                                             |
| Symmetry                                     | Symmetric                                                                                                                                                                                                                        | Symmetric                                                                                                                                                                                                                        |
| Method                                       | Balanced                                                                                                                                                                                                                         | Balanced                                                                                                                                                                                                                         |
| Maximum Phase Charge<br>(uC)                 |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| 500 Ω                                        |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 12.7                                                                                                                                                                                                                             | 15.9                                                                                                                                                                                                                             |
| Interferential, 2-pole,<br>Premodulated      | 12.7                                                                                                                                                                                                                             | 15.9                                                                                                                                                                                                                             |
| TENS                                         | 60                                                                                                                                                                                                                               | 60                                                                                                                                                                                                                               |
| Microcurrent                                 | 75                                                                                                                                                                                                                               | 75                                                                                                                                                                                                                               |
| Maximum Current<br>Density                   |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| (mA/cm², 500 Ω)                              |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 3.50*                                                                                                                                                                                                                            | 3.45                                                                                                                                                                                                                             |
| Interferential, 2-pole,<br>Premodulated      | 2.96*                                                                                                                                                                                                                            | 2.46                                                                                                                                                                                                                             |
| TENS                                         | 1.91*                                                                                                                                                                                                                            | 1.97                                                                                                                                                                                                                             |
| Microcurrent                                 | 0.026*                                                                                                                                                                                                                           | 0.026                                                                                                                                                                                                                            |
| Maximum Power Density                        |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| (W/cm², 500 Ω)                               |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | 0.121                                                                                                                                                                                                                            | 0.121                                                                                                                                                                                                                            |
| Interferential, 2-pole,<br>Premodulated      | 0.089                                                                                                                                                                                                                            | 0.062                                                                                                                                                                                                                            |
| TENS                                         | 0.037                                                                                                                                                                                                                            | 0.039                                                                                                                                                                                                                            |
| Microcurrent                                 | 0.000007                                                                                                                                                                                                                         | 0.000007                                                                                                                                                                                                                         |
| Burst Mode                                   |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| a. Pulses per burst                          |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | N/A                                                                                                                                                                                                                              | N/A                                                                                                                                                                                                                              |
| Interferential, 2-pole,                      | N/A                                                                                                                                                                                                                              | N/A                                                                                                                                                                                                                              |
|                                              |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Premodulated                                 |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| TENS                                         | 7                                                                                                                                                                                                                                | 7                                                                                                                                                                                                                                |
| Microcurrent                                 | N/A                                                                                                                                                                                                                              | N/A                                                                                                                                                                                                                              |
| b. Bursts per second                         |                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                  |
| Interferential, 4-pole                       | N/A                                                                                                                                                                                                                              | N/A                                                                                                                                                                                                                              |
| Interferential, 2-pole,<br>Premodulated      | N/A                                                                                                                                                                                                                              | N/A                                                                                                                                                                                                                              |
| TENS                                         | 0.5, 0.7, 1, 2, 3, 4, 5, 6, 7                                                                                                                                                                                                    | 0.5, 0.7, 1, 2, 3, 4, 5, 6, 7…

---

**Source:** [https://fda.innolitics.com/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IMG/K111482](https://fda.innolitics.com/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IMG/K111482)

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