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510(k) Data Aggregation

    K Number
    K202110
    Date Cleared
    2021-11-05

    (463 days)

    Product Code
    Regulation Number
    882.5810
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Guangzhou Longest Science & Technology CO., Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The MStim Drop LGT-233 is intended to provide ankle dorsiflexion in individuals who have a dropped foot as a consequence of upper motor neuron injury. The device electrically stimulates muscles in the affected leg to provide ankle dorsiflexion of the foot and/or knee flexion or extension; thus, it also may improve the individual's gait. The MStim Drop LGT-233 may also:

    ·Prevent/retard disuse atrophy

    · Maintain or increase joint range of motion

    •Increase local blood flow

    Device Description

    The MStim Drop LGT 233 is a wearable foot drop device, which is mainly consist s of stimulator main unit, electrode lead wire, electrodes pad, leg bandage and battery charger. The stimulator main unit can be charge by the battery charger.

    The device can control the out stimulation and treatment time setting by APP application provided by the manufacturer, and it can trigger and control the pulse stimulation on and off by detecting the swing phase of gait during walking. The device was design to use FES (Functional Electrical Stimulation) to treat and improve the patient s foot drop and help to improve walking ability. It has two modes: Training mode, Walk mode. Training mode is suitable for muscle training when the patient is seated or lying down (patient lacking active training), which can promote muscle recover, prevent muscle atrophy, improve joint range of motion, and increase local blood flow. Walk mode is walking with the electrical stimulation.

    AI/ML Overview

    The MStim Drop Model: LGT-233 is an external functional neuromuscular stimulator intended to provide ankle dorsiflexion in individuals with dropped foot due to upper motor neuron injury. It electrically stimulates muscles to improve gait and may also prevent/retard disuse atrophy, maintain or increase joint range of motion, and increase local blood flow.

    Here's an analysis of the provided information regarding acceptance criteria and studies:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided document (a 510(k) summary) does not explicitly state "acceptance criteria" in a quantitative, measurable sense for clinical performance. Instead, it demonstrates substantial equivalence to predicate devices through a comparison of technical specifications and an assertion of compliance with various electrical safety and biocompatibility standards. The reported device performance is largely a direct comparison of its technical specifications to those of the predicate devices.

    Here's a table summarizing the comparison of key technical elements. "SE" in the remark column indicates "Substantially Equivalent” as claimed by the manufacturer. "Minor difference" remarks are explained in the "Comparison in Detail(s)" section of the document.

    Elements of ComparisonSubject Device (MStim Drop Model: LGT-233)Predicate Device I (L300 Go System, K162407)Predicate Device II (MyGait Stimulation System, K141812)Remark
    Indications for UseProvides ankle dorsiflexion, improves gait, prevents atrophy, maintains/increases ROM, increases local blood flow.Provides ankle dorsiflexion, assists knee flexion/extension, improves gait.Provides ankle dorsiflexion and knee flexion/extension, improves gait, prevents/retards atrophy, facilitates muscle reeducation, maintains/improves ROM, promotes local blood circulation.SE
    Apply partsLegLeg and footLeg and footSE
    Power SourcesAdapter supply: AC 100~240V, Battery: 3.7V, 1200mAh, lithium.Battery operatedBattery operatedMinor difference (Note 1)
    Indicator displayLED and APP----Minor difference (Note 1)
    Method of Line Current IsolationBattery operated--Medical Class II Power AdapterSE
    Number of Modes for Micro current stimulation2 (Training mode, Walk mode)Two modes: Biphasic Symmetric and Biphasic Asymmetric.2SE
    Number of Channels for Micro current stimulation11-2 channels depending on cuff.2SE
    Synchronous or AlternatingNot applicable – single channel deviceAlternatingSynchronous or alternatingSE
    Regulated Current or Regulated VoltageRegulated VoltageCurrentRegulated CurrentSE (Note 2 refers to Timer Range, not this)
    Software/Firmware/Microprocessor controlYesYesYesSE
    Automatic Overload TripYesYesYesSE
    Automatic No-load TripYesYesYesSE
    Automatic Shut OffYesYesNoSE
    Patient Override ControlYesYesYes (ON/OFF Button)SE
    Indicator Display (Status, Low Battery, Voltage/Current Level)Yes (On/Off Status, Low Battery); No (Voltage/Current Level)Yes for allYes for allSE (Remark for each, although Voltage/Current is 'No' for subject device)
    Timer Range1min-60min, stepping 1minMax stimulation duration (clinician selectable) Training mode: 5-60 minutes5 to 120min in steps of 5 minMinor difference (Note 2)
    Console weight60g (main unit)Control Unit: 60g, EPG: 60g, Lower leg FSC:150g, Thigh cuff: 300g, Foot Sensor: 25g78gSE
    Housing Materials and ConstructionABSMixed (Polycarbonate + ABS, Biocompatible fabric, POM Hi, TPU)ABSSE
    WaveformBiphasic squareBiphasic SymmetricalBiphasicSE
    ShapeRectangularRectangularRectangularSE
    Maximum Output Voltage (+/- 10%)50V @ 500Ω, 90V @ 1KΩ, 120V @ 2KΩ, 130V @ 10KΩLower leg: 50V@500Ω, 130V@2KΩ, 130V@10KΩ; Thigh: 50V@500Ω, 130V@2KΩ, 130V@10KΩ45V @ 500Ω, 90V @ 1KΩ, 120V@2KΩ, n/a @10KΩMinor difference (Note 3)
    Maximum output Current100mA @ 500Ω, 90mA @ 1KΩ, 60mA @ 2KΩ, 13mA @ 10KΩLower leg: 100mA@500Ω, 65mA@2KΩ, 13mA@10KΩ; Thigh: 100mA@500Ω, 65mA@2KΩ, 13mA@10KΩ90mA @ 500Ω, 90mA @ 1KΩ, 60mA@2KΩ, n/a @10KΩMinor difference (Note 3)
    Frequency range10~80Hz10, 15, 20, 25, 30, 35, 40, 45 Hz10 to 80Hz in 1Hz stepsMinor difference (Note 4)
    Pulse width range50~500µs100, 150, 200, 250, 300µs (each: positive and phase)Symmetrical: 50 400µs in steps of 50µs; Asymmetrical: pos.: 50 ~ 400µs, Neg.: 2001600µsMinor difference (Note 4)
    Pulse duration50~500µsPositive phase: 100, 150, 200, 250, 300 µs; Negative phase: 100, 150, 200, 250, 300 µsSymmetrical: 50 400µs in steps of 50µs; Asymmetrical: pos.: 50 ~ 400µs, Neg.: 2001600µsMinor difference (Note 4)
    Net Charge0uC @ 500Ω0µC using inverted balanced phases0µC @ 500Ω Balanced pulsesSE
    Maximum Current DensityTrain mode: 0.532mA/cm²@500Ω, Walk mode: 0.53mA/cm²@500ΩLower leg (small cuff): 1.63 mA/cm² (rms), Lower leg (regular cuff): 1.04 mA/cm² (rms), Thigh: 0.23 mA/cm² (rms)1.51 mA/cm² @500ΩMinor difference (Note 5)
    Maximum Power DensityTrain mode: 5.66 mW/cm²@500Ω, Walk mode: 5.62 mW/cm²@500ΩLower leg (small cuff): 13.4 mW/cm², Lower leg (regular cuff): 8.5 mW/cm², Thigh: 1.9 mW/cm²0.024 W/cm²Minor difference (Note 5)
    ON timeFor Train mode: 2~40s, For Walk mode: N/ATraining mode: 4-20 sec, Gait mode: 1-10 sec1 to 4 sec in 0.1sec stepsMinor difference (Note 6)
    OFF timeFor Train mode: 2.0~60.0s, For Walk mode: N/A (swing phase detecting)Training mode: 4-20 sec, Gait mode: not limited (swing phase detecting)1 to 30 sec in 1sec stepsMinor difference (Note 6)
    Contraction and Relaxation timeAdjustable--AdjustableSE
    Environment for operatingTemperature: 5 to 40°C; Rel. humidity: ≤80%--No specific values listed in comparison table.SE
    Environment for storage and transportTemperature: -20 to 55°C; Rel. humidity: ≤93%--No specific values listed in comparison table.SE
    BiocompatibilityCompliant with ISO10993-5, -10, -12No specific standards listed in comparison table.No specific standards listed in comparison table.SE
    Electrical Safety, EMCCompliant with IEC 60601-1, -2-10, -1-2, -1-11, IEC 62133-2IEC 60601-1, IEC 60601-1-2, IEC 60601-2-10, FCC part 15 subpart C and B1IEC 60601-1:2005+A1:2012; IEC 60601-1-11:2010; IEC 60601-2-10:2012; IEC 60601-1-2:2007SE

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    The document primarily relies on bench testing for safety and performance evaluation against recognized standards (IEC, ANSI, ISO). There is no mention of a human clinical study or "test set" in the context of clinical performance data used for this 510(k) submission. Therefore, sample size and data provenance for a clinical test set are not applicable here.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience)

    Not applicable, as no clinical test set for performance involving ground truth established by experts is described for this submission. The submission focuses on substantial equivalence based on technical specifications and compliance with safety standards.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    Not applicable, as no clinical test set requiring adjudication is described.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This device is an electrical stimulator, not an AI-powered diagnostic tool requiring reader performance evaluation.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done

    Not applicable. This is not an algorithm-only device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    For the safety and performance evaluation reported, the "ground truth" used is compliance with various international standards for medical electrical equipment (e.g., IEC 60601 series), battery safety (IEC 62133-2), and biological evaluation (ISO 10993 series). These standards define acceptable limits and testing methodologies for device characteristics. No clinical outcomes data or expert consensus on clinical effectiveness is presented as "ground truth" in this submission.

    8. The sample size for the training set

    Not applicable. This device does not appear to incorporate machine learning algorithms that require a "training set" in the context of AI model development.

    9. How the ground truth for the training set was established

    Not applicable, as no training set for AI model development is mentioned.

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    K Number
    K201845
    Date Cleared
    2020-10-08

    (94 days)

    Product Code
    Regulation Number
    890.5850
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Guangzhou Longest Science & Technology Co., LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Portable Electro-Stimulation Therapy Device, model LGT-232(US) is used to: Stimulate healthy muscles in order to improve or facilitate muscle performance. It is to be used by adults only.

    Portable Electro-Stimulation Therapy Device, model LGT-232(US) in TENS mode is used for:

    1. Temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household and work activities;

    2. The symptomatic relief and management of chronic, intractable pain associated with arthritis.

    Device Description

    The LGT-232(US) is a lightweight and portable multifunctional electrotherapy device that provides NMES or TENS current. The device consists of the main unit, charging case, charger connector, FDA cleared self-adhesive electrodes (K183154), indicator light, main unit cable, on/off button, decreasing intensity button, and increasing intersity button to complete the function. The device can also be connected to a mobile phone through Bluetooth, and be controlled by the MStim Sport Application on the mobile device to choose the training programs and adjust pulse output intensity. The MSim Sport App can be downloaded from App Store. MStim Sport has up to seven training programs. These include Endurance, Resistance, Strength, Explosive Strength, Potentiation, Training Recovery and Pain Relief programs. The programmed electrical pulses will transfer through electrode plates to the suggested area of the body where the electrodes are placed.

    AI/ML Overview

    The provided text is a 510(k) summary for a medical device (Portable Electro-Stimulation Therapy Device, Model: LGT-232(US)). It outlines the device's characteristics and compares them to predicate devices to establish substantial equivalence. However, this document does not describe a study involving human subjects or artificial intelligence (AI) performance validation.

    The "Test Summary" section [5] refers to lab bench testing according to various safety and performance standards (e.g., IEC 60601-1, IEC 60601-2-10, ISO 10993-10, ISO 10993-5). This type of testing evaluates the device's electrical safety, electromagnetic compatibility, and biocompatibility, as well as its physical output parameters (voltage, current, frequency, pulse width). It does not involve "acceptance criteria" related to diagnostic accuracy, a human-in-the-loop study, or AI performance, as typically seen in submissions for AI/ML-driven medical devices.

    Therefore, because the provided text is a 510(k) summary for an electro-stimulation therapy device that relies on established safety and performance standards for comparison to predicates, and not a study validating AI or diagnostic performance, I cannot extract the information required to populate the fields related to acceptance criteria, study design, expert involvement, or AI performance.

    The document focuses on demonstrating that the new device is functionally and safely comparable to existing, legally marketed predicate devices, primarily through engineering specifications and adherence to relevant international standards.

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    K Number
    K182020
    Date Cleared
    2020-09-17

    (783 days)

    Product Code
    Regulation Number
    890.5850
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Guangzhou Longest Science & Technology Co., Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Portable Electro-Stimulation Therapy Device, model LGT-231 is to be used by adults only and has two modes NMES and TENS.

    NMES is used to: stimulate healthy muscles in order to improve or facilitate muscle performance.

    TENS is used to:

    1. Temporary relief of pain associated with sore and aching muscles due to strain from exercise or normal household and work activities.

    2. Symptomatic relief and management of chronic, intractable pain and relief of pain associated with arthritis.

    Device Description

    The Portable Electro-Stimulation Therapy Device, model LGT-231 is a dual channel stimulator which sends gentle electrical current to underlying nerves and muscle group via electrodes applied on the skin with two operational modes and powered by rechargeable lithium battery; the device system is made up of mobile app MStim Reha, main unit and electrodes.

    The Mobile App MStim Reha provides access to treatment controls for Portable Electro-Stimulation Therapy Device from a compatible device for selecting a pre-programmed output mode, adjusting frequency, pulse width and treatment time. Software operating environment of Mobile App MStim Reha are Android 4.3 or later mobile phone, with 4.0 Bluetooth and iOS 8.0 or later iPhone mobile phone, with 4.0 Bluetooth. Click the MStim Reha Application installation package on the phone to install the application. MStim Reha Application and the device can be connected via Bluetooth.

    The main unit provides access to adjust the intensity up or down, put ON/OFF the main unit.

    The two modes that Portable Electro-Stimulation Therapy Device, model LGT-231 employs are neuromuscular electrical stimulation (NMES) and transcutaneous electrical stimulation (TENS). Neuromuscular electrical stimulation (NMES) and transcutaneous electrical stimulation (TENS) target different nerve groups of the body.

    TENS is specifically targets the sensory nerves, which are responsible for sending pain signals to the brain. TENS use tiny electrical impulses sent through the skin to nerves to modify the pain perception. TENS does not cure any physiological problem; it only helps control the pain, this activates the underlying sensory nerves. Self-adhesive electrodes are placed on the skin close to the area of pain.

    NMES targets the muscle itself, specifically through the motor nerves. This allows the NMES machine to create a muscle contraction to recruit more muscle fibers when training: warming up or recovering. The Portable Electro-Stimulation Therapy Device stimulates nerve fibers by means of electrical impulses transmitted by electrical pulses generated by the Portable Electro-Stimulation Therapy Device stimulate motor nerves to stimulate a muscular response. Depending on the parameters of the electrical impulses (pulse frequency, duration of contraction, duration of rest, and total session duration), different types of muscle work can be imposed on the stimulated muscles. The Portable Electro-Stimulation Therapy Device may therefore be considered a technique of muscle training.

    AI/ML Overview

    This document is a 510(k) Premarket Notification from Guangzhou Longest Science & Technology Co., Ltd. for their Portable Electro-Stimulation Therapy Device, model LGT-231. The notification seeks to establish substantial equivalence to a predicate device (Compex Sport Elite, K170918) and therefore does not contain acceptance criteria or study data in the way a clinical trial or performance study for a novel device would. Instead, it focuses on demonstrating that the device meets safety and performance standards equivalent to the predicate device.

    Based on the provided information, here's a breakdown:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present "acceptance criteria" for a specific performance metric of the device in a comparative study against a clinical endpoint. Instead, the "acceptance criteria" are implied by demonstrating equivalence to a predicate device and adherence to recognized standards. The "reported device performance" is presented as its technical specifications and compliance with those standards, rather than clinical outcomes.

    Here's a table summarizing the comparison to the predicate device, highlighting where the subject device "meets" or is considered "similar" to the predicate, thus satisfying the substantial equivalence requirement.

    CharacteristicSubject Device (LGT-231)Predicate Device (Compex Sport Elite)Discussion of Difference/Equivalence
    General Characteristics
    Classification21 CFR 890.5850, 21 CFR 882.589021 CFR 890.5850, 21 CFR 882.5890Same
    Prescription/OTCOTCOTCSame
    Product CodeNGX, NUH, NYNNGX, NUH, NYNSame
    FDA ClassIIIISame
    Intended UseNMES: stimulate healthy muscles to improve/facilitate muscle performance. TENS: temporary relief of pain associated with sore/aching muscles, symptomatic relief/management of chronic, intractable pain, and arthritis pain relief. For adults only.NMES: stimulate healthy muscles to improve/facilitate muscle performance. TENS: temporary relief of pain associated with sore/aching muscles, symptomatic relief/management of chronic, intractable pain, and arthritis pain relief. For adults only.Same (Minor wording differences, but identical indications)
    Target PopulationAdultsAdultsSame
    Power SourceRechargeable lithium battery 3.7VRechargeable Ni-Mh Battery 4.8VSimilar: "The proposed device was demonstrated electromagnetic compatibility and electrical safety by the testing. The difference does not raise the issue of product's safety and effectiveness."
    Method of Line Current IsolationN/A (battery operated device)N/A (battery operated device)Same
    Patient Leakage Current (Normal)N/A (battery operated device)N/A (battery operated device)Similar: "The proposed device was demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. The difference does not raise the issue of product's safety and effectiveness."
    Patient Leakage Current (Single Fault)N/A (battery operated device)N/A (battery operated device)Same
    Number of Output ChannelsTwoFourDifferent: "More channels means it can be applied on more different body sides at the same time, and all output channel works independently from each other, the proposed device has less channels than equivalent device, this can be addressed by applied two proposed device, therefore, the different channel number will not affect the safety and effectiveness of the proposed device."
    Synchronous or Alternating?SynchronousSynchronousSame
    Method of Channel IsolationIsolating transformerEach channel is the middle of a H-Bridge.Similar: "The proposed device was demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. The difference in Method of Channel Isolation does not raise the issue of product's safety and effectiveness."
    Number of Output ModesTwo (TENS and NMES)Two (TENS and NMES)Same
    Regulated Current or Voltage?CurrentCurrentSame
    Software/Firmware/Microprocessor Control?YesYesSame
    Automatic Overload Trip?YesYesSame
    Automatic No-Load Trip?YesYesSame
    Automatic Shut Off?"On/Off" button"On/Off" switchSame
    User Override Control?YesYesSame
    Indicator: On/Off Status?YesYesSame
    Display: Low Battery?YesYesSame
    Display: Voltage/Current Level?Yes (on app)YesSame: "System validation testing scenarios covering mitigation of wireless risks in accordance with RED were added to our full system testing protocol to ensure safe and effective use."
    Timer Range (minutes)Maximum = 60 minuteMaximum = 55 minuteDifferent: "The treatment time is adjusted by the user or depend on selected programs, so the difference doesn't affect the safety and effectiveness of the proposed device."
    Compliance with 21 CFR 898?YesYesSame
    ANSI AAMI ES60601-1YesYesSame
    IEC 60601-2-10YesYesSame
    Weight120g (only main unit)300 gDifferent: "The Weight will not affect the safety and effectiveness of the proposed device."
    Dimensions (mm) (W x H x D)62 (W) × 122 (L) × 27 (H) (mm)99 x 142 x 36 (mm)Different: "The dimensions will not affect the safety and effectiveness of the proposed device."
    Housing Materials and ConstructionCasing: Plastic (PC+ABS, with PMMA on button panel). Buttons: ABS. Light pipe: PCCasing: Plastic (ABS, with PMMA on windows). Buttons: Silicon, rubber. Battery Pack: Rigid, ABS housing. Battery contacts: SK5 steel.Similar: "The Housing Materials and Construction form the basic construction and ensure the basic safety of device, since the proposed device was demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests, the existed difference will not affect the safety of the proposed device."
    ProgramsNMES: (not detailed). TENS: Normal, Sweep, Random, Alternation (different frequency modulation methods).NMES: Endurance, Resistance, Strength, Explosive Strength, Potentiation, Training Recovery, Competition Recovery, Pre-Warmup Program, Muscle Relaxation. TENS: Pain relief TENS (same as FM).Similar: "The two devices have two same main Output Modes: NMES and TENS, both modes NMES and TENS of these two devices also have same indications respectively, although both modes have different output programs, these two modes have almost the same parameter range, and the NMES of the proposed device can be adjusted arbitrarily within the parameter range, the TENS output programs: Normal, Sweep, Random, Alternation represents different frequency adjustment methods, same as Frequency Modulation which is same with the equivalent device. Therefore, the existed difference will not affect the safety and effectiveness of the proposed device."
    Output Specifications
    WaveformNMES: Symmetrical biphasic. TENS: Balanced Symmetrical biphasic (Normal, Random, Sweep, Alternation).NMES: Symmetrical Biphasic (all programs). TENS: Balanced, asymmetrical Biphasic (Pain relief TENS).Same (for NMES), Similar (for TENS, although stated as 'Same' in the table row, the text mentions "Balanced, asymmetrical Biphasic" for predicate TENS vs "Balanced Symmetrical biphasic" for subject TENS, this is not fully articulated in the discussion, but generally within a range expected not to raise new questions.)
    ShapeNMES: Rectangular. TENS: Rectangular (all modes).NMES: Rectangular (all programs). TENS: Rectangular (Pain relief TENS).Same
    Maximum Output Voltage (± 10%)NMES: 50V @ 500Ω, 115V @ 2kΩ, 125V @ 10kΩ. TENS: Similar values for all modes.NMES: 60V @ 500Ω, 165V @ 2kΩ, 165V @ 10kΩ. TENS: Similar values for Pain Relief TENS.Similar: "The max output voltage of proposed device is smaller than predicate device, the predicate device is safe and effective with its output voltage range which means the proposed device is also safe and effective with its output voltage, and at the meantime, the proposed device was also demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference does not raise the issue of product's safety and effectiveness."
    Maximum Output Current (± 10%)NMES: 100mA @ 500Ω, 58mA @ 2kΩ, 13mA @ 10kΩ. TENS: Similar values for all modes.NMES: 120mA @ 500Ω, 82mA @ 2kΩ, 16mA @ 10kΩ. TENS: Similar values for Pain Relief TENS.Similar: "The output current of proposed device is smaller than predicate device, the predicate device is safe and effective with its output current range which means the proposed device is also safe and effective with its output current, and at the meantime, the proposed device was also demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. Therefore, the difference does not raise the issue of product's safety and effectiveness."
    Pulse WidthNMES: 50 to 400 µs. TENS: 50 to 400 µs (all modes).NMES: 200 to 400 [µs] (all programs). TENS: 70 to 300[µs].Similar: "Risk arises with larger Pulse Width, since the largest Pulse Width of proposed device is same the predicate device, this tiny differences will not affect the safety and effectiveness of the proposed device."
    FrequencyNMES: 1 to 120 Hz. TENS: 1 to 120 Hz (all modes).NMES: 1 to 100 Hz (most programs). TENS: 5 to 122 Hz.Similar: "The different frequency will finally cause different feelings, as for NMES mode, the frequency range of the proposed device is 1120Hz and the equivalent device is 1100Hz, both of them have similar frequency range and the parameter of the proposed device can be adjusted to the same with the proposed device, as for TENS mode, the frequency range of the proposed device is 1120Hz, and the equivalent device is 5122Hz, both of them have similar frequency range and are Frequency Modulation, therefore, these tiny difference existed in Frequency between proposed device and predicate device are acceptable. The difference will not raise the issue of product's safety and effectiveness."
    Symmetrical phases?YesYesSame
    Phase DurationNMES: Symmetrical, 50 - 400 µs. TENS: Symmetrical, 50 - 400 µs.NMES: Symmetrical, 280 - 400 µs. TENS: Symmetrical, 70 - 300 µs.Similar: "Risk arises with larger Pulse Width, since the largest Pulse Width of proposed device is same the predicate device, this tiny differences will not affect the safety and effectiveness of the proposed device."
    Net Charge (µC/pulse)NMES: 0 μC @ 500Ω. TENS: 0 μC @ 500Ω.NMES: 0 [μC] @ 500Ω (Excitation pulse fully Compensated). TENS: 0 [μC] @ 500Ω (Excitation pulse fully compensated).Same
    Maximum Phase Charge (µC)NMES: 48.24 μC @ 500Ω. TENS: 46.73 μC @ 500Ω.48 (μC) @ 500Ω.Similar: "The tiny difference existed in Maximum Phase Charge between proposed device and predicate device are acceptable and the proposed device was demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. The difference does not raise the issue of product's safety and effectiveness."
    Maximum Current Density (mA/cm², r.m.s.)TENS: 1.94mA/cm² @ 500Ω. NMES: 2.00mA/cm² @ 500Ω.4.8 (mA/cm²) @ 500Ω.Similar: "The proposed device has a smaller maximum current density than predicate device. The proposed device was also demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. The difference does not raise the issue of product's safety and effectiveness."
    Maximum Average Power Density (mW/cm²)TENS: 30.15 mW/cm² @500Ω. NMES: 32.28 mW/cm² @500Ω.27.6 (mW/cm²) @500Ω.Similar: "The tiny difference existed in Maximum Average Power between proposed device and predicate device are acceptable and the proposed device was demonstrated electrical safety by passing ANSI AAMI ES60601-1 and IEC 60601-2-10 tests. The difference does not raise the issue of product's safety and effectiveness."
    Burst ModeN/A, no burst modeN/A, no burst modeSame
    ON Time (seconds)Depends on user settings.Depends on selected program.Same: "Both device is depended on the user's selection."
    OFF Time (seconds)Depends on user settings 1-60min.Depends on selected program.Same: "Both device is depended on the user's selection."

    2. Sample size used for the test set and the data provenance:

    • Test Set Sample Size: The document does not describe any clinical test set involving human subjects to evaluate the device's therapeutic effectiveness. The non-clinical testing involved various electrical, mechanical, and software tests to demonstrate compliance with standards and equivalence to the predicate device.
    • Data Provenance: Not applicable, as there isn't a clinical test set in the traditional sense for this 510(k) submission. The testing performed was non-clinical (bench testing, software verification) by the manufacturer in China.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not applicable. This 510(k) submission did not involve a clinical study requiring human experts to establish ground truth for a test set of data. The ground truth for the non-clinical tests was established by the technical specifications of the device and the requirements of the international safety and performance standards.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • Not applicable. There was no clinical test set requiring adjudication.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    • Not applicable. This device is not an AI-powered diagnostic imaging system or similar technology that would involve human readers or AI assistance in interpretation. It is an electro-stimulation therapy device.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

    • Not applicable. This refers to the performance of an algorithm without human intervention, typically for AI/ML-based devices. This device is a hardware electro-stimulation therapy device, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • For the non-clinical tests, the "ground truth" was based on:
      • Technical Specifications: The declared specifications of the device itself.
      • International Standards: Requirements defined by standards such as ISO 10993-5, ISO 10993-10, ANSI AAMI ES60601-1, ANSI AAMI ES60601-1-2, IEC 60601-2-10, and ANSI AAMI ES60601-1-11.
      • Predicate Device Specifications: The established safety and performance characteristics of the legally marketed predicate device (Compex Sport Elite, K170918).

    8. The sample size for the training set:

    • Not applicable. This device does not use machine learning or AI that would require a "training set" of data.

    9. How the ground truth for the training set was established:

    • Not applicable, as there is no training set for this type of device.

    Summary of the Study that Proves the Device Meets Acceptance Criteria:

    The document states that non-clinical verification testing was performed to demonstrate that the Portable Electro-Stimulation Therapy Device, model: LGT-231 meets its design specifications and is suitable for its intended use. This testing established that the device is as safe, as effective, and performs as well as the predicate device (Compex Sport Elite, K170918), and that no new issues of safety and effectiveness were raised.

    The "study" or evidence provided includes:

    • Comparison to a Predicate Device (K170918 Compex Sport Elite): Detailed tables comparing the technological characteristics and output specifications of the subject device to the predicate device. For each difference identified, a discussion is provided to argue why the difference "does not raise the issue of product's safety and effectiveness" or why the devices are "similar" or "same."
    • Compliance with International Standards: The device underwent testing to demonstrate compliance with a list of recognized consensus standards:
      • ISO 10993-5:2009 (Biological evaluation - Cytotoxicity)
      • ISO 10993-10:2010 (Biological evaluation - Irritation and skin sensitization)
      • ANSI AAMI ES60601-1:2005+A1:2012 (Medical electrical equipment - General requirements for basic safety and essential performance)
      • ANSI AAMI ES60601-1-2:2014 (Medical electrical equipment - Electromagnetic compatibility)
      • IEC 60601-2-10:2012 (Particular requirements for the safety of nerve and muscle stimulators)
      • ANSI AAMI ES60601-1-11:2015 (Medical electrical equipment - Home healthcare environment)
    • Internal Verification and Validation: The document states the device was "designed, verified, and validated according to the company's Design Control process and has been subjected to extensive safety and performance testing."

    Conclusion from the Submission:

    The manufacturer concluded that "bench and non-clinical testing were sufficient to demonstrate that Portable Electro-Stimulation Therapy Device, model: LGT-231 is as safe and effective as the predicate device." The electrical safety, EMC, biocompatibility, software verification and validation, basic unit characteristics, and output specifications information were deemed sufficient to demonstrate substantial equivalence. Given the "nearly identical" nature and "essentially identical technological characteristics" with identical indications for use, the device was found substantially equivalent to the Compex Sport Elite.

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    K Number
    K191856
    Date Cleared
    2020-03-19

    (252 days)

    Product Code
    Regulation Number
    870.5800
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Guangzhou Longest Science & Technology Co., Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Compression Therapy Device (Model: LGT-2201DVT) is intended to prevent DVT (Deep Vein Thrombosis) by improving the blood velocity of patients.

    LGT-2201DVT is Circulation Enhancement, Deep Vein Thrombosis Prophylaxis, Edema - Chronic, Extremity Pain Incident to Trauma or Surgery, Leg Ulcers, Venous Stasis / Venous Insufficiency.

    Device Description

    Compression Therapy Device LGT-2201DVT a compression therapy device comprised of intermittent pneumatic controller, sleeves and connectable hose. The working principle is the air inflating and deflating the sleeve sequentially to develop the circulating pressure on the human body. Squeezing the proximal and distal of the limbs to promote blood circulation lymphatic system and improve body microcirculation. Besides, prevent thrombus, reduce limbs drops and this kind disease which is related to blood and lymph circulation directly or indirectly.

    AI/ML Overview

    The provided documentation is a 510(k) premarket notification for a medical device called the "Compression Therapy Device (Model: LGT-2201DVT)". This type of submission is for demonstrating substantial equivalence to a legally marketed predicate device, not for proving a device meets specific clinical performance acceptance criteria through a study involving AI.

    Therefore, the document does not contain the information requested in your prompt regarding acceptance criteria, study details, sample sizes, expert involvement, or AI performance metrics. The information provided is primarily related to:

    • Regulatory clearance: FDA's notification of substantial equivalence.
    • Device identification: Trade name, regulation number, product code, etc.
    • Intended use/indications for use.
    • Comparison to a predicate device: Highlighting similarities and minor differences in specifications (size, weight, input power, battery, pressure range) and noting that these differences do not affect safety or effectiveness.
    • Compliance with general safety and performance standards: IEC 60601-1, IEC 60601-1-2, ISO 10993-5, ISO 10993-10, IEC 62133-2.

    In summary, none of the requested information regarding acceptance criteria, study design for proving device performance (especially in the context of AI), sample sizes for test/training sets, expert ground truth establishment, or MRMC studies is present in this document. This device is a physical, non-AI medical device, and its clearance process relied on demonstrating equivalence to an existing device through bench testing and standard compliance, not a clinical performance study with AI.

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    K Number
    K191862
    Date Cleared
    2019-10-29

    (110 days)

    Product Code
    Regulation Number
    890.5650
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Guangzhou Longest Science & Technology Co., Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Compression Therapy Device LGT-2200SP is intended for the temporary relief of minor muscle aches and for the temporary increase in circulation to the treated areas, it can simulate kneading and stroking of tissues by using an inflatable garment.

    Device Description

    Compression therapy device LGT-2200SP is a powered inflatable tube massager, comprised of an air compressor with intermittent pneumatic controller, 4-chamber sleeves covered with Polyether Nylon Fabric, and a connectable hose for connecting the device to the sleeves. The case of main unit body is made from ABS plastic. The device can be powered by an external power supply, or be powered by an internal lithium ion battery. The sleeves have 4-chambers and different applicable body areas, such as the Arm/ Leg/ Waist, hip and thigh/ Calf and foot. The sleeves can be inflating sequentially to apply the circulating pressure on the target body areas which controlled by the main unit. The device simulates manual kneading and stroking of tissues by sequential inflated sleeves, to temporarily relieve minor muscle aches and/or pains and to temporarily increase circulation to the treated areas.

    AI/ML Overview

    The provided text is a 510(k) Summary for the Compression Therapy Device Model LGT-2200SP. It asserts substantial equivalence to predicate devices and focuses on technical specifications and adherence to safety standards.

    Here's an analysis of the provided text in relation to your request:

    The document does not include detailed acceptance criteria or a study that rigorously proves the device meets those criteria in a clinical performance context. Instead, it focuses on demonstrating safety and effectiveness through compliance with recognized standards and comparison to predicate devices.

    Let's break down your specific points based on the available information:

    1. A table of acceptance criteria and the reported device performance:
      The document doesn't provide a typical "acceptance criteria" table for device performance in a clinical sense (e.g., accuracy, sensitivity, specificity). Instead, it compares the subject device's technical specifications and features to predicate devices, and asserts that differences do not raise new questions of safety or effectiveness.

      Here's a table summarizing the comparison of the device's technical specifications and features to the predicate devices, which act as a form of "acceptance" by demonstrating substantial equivalence:

      Elements of ComparisonSubject Device (LGT-2200SP)Predicate Device (Primary: NormaTec Pulse/Pro)Predicate Device (II: Rapid Reboot System)Predicate Device (III: Senyang Pt 1002)Verdict (Equivalence Claim)
      Classification NamePowered inflatable tube massagerPowered inflatable tube massagerPowered inflatable tube massagerPowered inflatable tube massagerSubstantially Equivalent (SE)
      Regulation Class2222SE
      Regulation Number21 CFR 890.565021 CFR 890.565021 CFR 890.565021 CFR 890.5650SE
      OTC & RxOTCOTCOTCRxMinor different (Noted in Remarks below)
      Indications for UseTemporary relief of minor muscle aches and pains, temporary increase in circulation. Simulates kneading/stroking.Temporary relief of minor muscle aches/pains, temporary increase in circulation.Temporary relief of minor muscle aches/pains, temporary increase in circulation in healthy people. Simulates kneading/stroking.Treating primary lymphedema, edema, venous insufficiencies, lymphedema (Rx use).Minor different (Noted in Remarks below)
      Power SourceAC100-240V, Battery 11.1V, 6500mAh12 VDC via IEC 60601-1 PSU, Optional rechargeable battery110 V, 60Hz110 V, 60HzMinor different (Noted in Remarks below)
      Power Consumption90VA14W30W30WMinor different (Noted in Remarks below)
      Dimensions (WHD)270148129mm4"*5" *9"10" x 6.5" x 5"260170130mmMinor different (Noted in Remarks below)
      Weight2.0 Kg (4.4 pounds)3.6 pounds5.8 pounds5.8 poundsMinor different (Noted in Remarks below)
      Housing MaterialsMolded ABS enclosureMolded ABS enclosureMolded ABS enclosureMolded ABS enclosureSE
      Number of Chambers4-chamber5 or less4 Chambers4 ChambersSE
      Sleeve MaterialsPolyether Nylon Fabric200 denier nylon with polyurethane laminate/extrusionNylon with a Polyurethane laminateThermoplastic UrethaneMinor different (Noted in Remarks below)
      Mode of CompressionSequentialSequentialSequentialSequentialSE
      Device Pressure Range30-150mmHg30-110 mmHg0-200 mmHg0-250mmHgMinor different (Noted in Remarks below)
      Treatment Time1min-99min, default 30min, step of 5minStays on until user turns off or 10mins to continuous10, 20, or 30 minute, with option to add 10 minutes0 - 30minsMinor different (Noted in Remarks below)
      Work Mode6 modes (SEQUENTIAL, SQUEEZE, FLUSH, FLOW, RELEASE, WAVE)Sequential, Zone pulses (2 modes)Model A, Model B (2 modes)Model A, Model B (2 modes)Minor different (Noted in Remarks below)
      Patient ContactNon-conductive appliancesNon-conductive appliances(Image of Predicate II)(Image of Predicate III)SE
      Software/Firmware/Microprocessor ControlMicroprocessorMicroprocessorMicroprocessorMicroprocessorSE
      TechnologyCompressor and valve system inflates cells of appliance sequentiallyCompressor and valve system inflates cells of appliance sequentiallyCompressor and valve system inflates cells of appliance sequentiallyCompressor and valve system inflates cells of appliance sequentiallySE
      FDA-Recognized StandardsANSI/AAMI ES60601-1, IEC 60601-1-2, IEC 60601-1-11, IEC 62133, ISO 10993-5, ISO 10993-10ES 60601-1, IEC 60601-1-2, IEC 60601-1-11IEC 60601-1:2014, IEC 60601-1-2:2014, EN ISO 10993-5:2009, EN ISO 10993-10:2010IEC 60601-1, IEC 60601-1-2, ISO10993-5, ISO10993-10Minor different (Noted in Remarks below)

      Remarks on "Minor different" Verdicts:

      • Indications for Use: The document states, "Although there is a little difference about the indication for use, the meanings are the same. This difference does not affect the safety and effectiveness." (Note 1)
      • Power Source, Consumption, Dimensions, Weight: "Although the subject device design and specification parameter between the predicate are different, they are both complied with ANSI/AAMI ES60601-1. So the minor differences on such parameters do not affect the safety and effectiveness." (Note 2)
      • Sleeve Materials, Sleeves (dimensions/types): "Although the device provides four kind sleeves which have minor difference about size and appearance, the sleeve chamber number are the same and the applicable body areas are included in the predicate... the biocompatibility of sleeves is also complied with ISO 1099-5 and ISO 10993-10. Therefore, the difference would not raise adversely impact on safety and effectiveness." (Note 3)
      • Device Pressure Range: "Although the pressure range of subject devices, the range is smaller and contained by the predicate device (1), so the difference of pressure range would not raise adversely impact on safety and effectiveness." (Note 4). (There seems to be an error in the text where it ambiguously says "range is smaller and contained by the predicate device (1)" when for PD(II) and PD(III) the subject device's range is within a larger range.)
      • Treatment Time: "Although the treatment time range of subject device is to 99mins, which seems to be longer than the predicated with is suitable for daily use. And the treatment time is optionally set by user with 5mins step, which is more exact to the difference of pressure range would not raise adversely impact on safety and effectiveness." (Note 5). (There seems to be an error in the text where it mentions "difference of pressure range" instead of treatment time range).
      • Work Mode: "Although the subject device provides six kinds of work mode, the SEQUENTIAL and FLUSH mode are the same with the other work modes of subject device just have different about the different chambers. The treatment pressure range are the same under different work modes, so the difference of pressure range would not raise adversely impact on safety and effectiveness." (Note 6).
      • FDA-Recognized Standards: "The subject device references more sufficient safety standards than the 'safety of the safety' of the device is verified via tests." (Note 7 - this implies the subject device meets or exceeds the standards referenced by predicates, further supporting SE).
    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):
      The document explicitly states: "Clinical performance is not deemed necessary." (Section 7. Summary for clinical test). Therefore, there is no test set, sample size, or data provenance regarding clinical performance. The evaluation was based on bench testing and comparison to predicates.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):
      As no clinical test set was used, there were no experts establishing ground truth in a clinical context.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
      As no clinical test set was used, there was no adjudication method.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
      This device is a physical therapy device (compression therapy device), not an AI imaging or diagnostic algorithm. Thus, an MRMC study and AI assistance effectiveness are not applicable and were not performed.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
      This is a physical therapy device. The concept of "standalone algorithm performance" is not applicable.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):
      As no clinical studies were performed, there was no clinical ground truth established (such as expert consensus, pathology, or outcomes data). The "ground truth" for demonstrating substantial equivalence was adherence to recognized safety standards and functional comparison to legally marketed predicate devices.

    8. The sample size for the training set:
      As no machine learning or AI component is mentioned, there is no training set, and therefore no associated sample size.

    9. How the ground truth for the training set was established:
      As there is no training set for an AI/ML model, this question is not applicable.

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    K Number
    K182108
    Date Cleared
    2019-04-26

    (266 days)

    Product Code
    Regulation Number
    882.5890
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Guangzhou Longest Science & Technology Co., Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Portable Electro-Stimulation Therapy Device, model LGT-235 is indicated for the Symptomatic relief of chronic intractable pain, Post-traumatic pain and Post-surgical pain of the arms and legs.

    Device Description

    The Portable Electro-Stimulation Therapy Device, model LGT-235 is a stimulator which sends gentle electrical current to underlying nerves via electrodes (Knee brace or self-adhesive electrode) applied on the skin with two operational modes and powered by rechargeable lithium battery; the device system is made up of mobile app MStim Arth, main unit and electrodes (Knee brace and self-adhesive electrode).

    The Mobile App MStim Arth provides access to treatment controls for Portable Electro-Stimulation Therapy Device from a compatible mobile device for selecting a pre-programmed output mode and treatment time.

    The main unit provides access to adjust the intensity up or down, put ON/OFF the main unit.

    The two modes that Portable Electro-Stimulation Therapy Device, model LGT-235 employs are transcutaneous electrical stimulation (TENS) and Microcurrent (MCR).

    TENS and MCR are both specifically targets the sensory nerves, which are responsible for sending pain signals to the brain. TENS and MCR use tiny electrical impulses sent through the skin to nerves to modify the pain perception. TENS and MCR do not cure any physiological problem; it only helps control the pain, this activates the underlying sensory nerves. Knee brace is placed on the leg or arm close to the area of pain.

    AI/ML Overview

    The provided text describes the Portable Electro-Stimulation Therapy Device, model LGT-235, and its substantial equivalence to a predicate device (Sonicator Plus 920, Model ME 920), which implies that it meets certain performance criteria. However, the document does not explicitly list quantitative acceptance criteria for the device's performance in terms of clinical efficacy or diagnostic accuracy. Instead, it focuses on demonstrating equivalence through technical specifications and compliance with recognized safety standards.

    Therefore, many of the requested fields cannot be filled as they relate to clinical studies or performance metrics that are not detailed in this 510(k) summary.

    Here's a breakdown of what can and cannot be answered based on the provided text:

    1. A table of acceptance criteria and the reported device performance

    The document does not provide a table of explicit acceptance criteria for clinical performance (e.g., pain reduction percentage, accuracy). Instead, it compares the technical characteristics and output specifications of the subject device to the predicate device, with the implicit acceptance criterion being "similar" or "same," meaning the differences do not raise new questions of safety or effectiveness.

    CharacteristicAcceptance Criteria (Implicit)Reported Device Performance (Subject Device)
    ClassificationSame as Predicate21 CFR 882.5890 (Same)
    Product CodeSame as PredicateGZJ (Same)
    FDA ClassSame as Predicate2 (Same)
    Intended UseSame as PredicateSymptomatic relief of chronic intractable pain, Post-traumatic pain, Post-surgical pain (Same)
    Principle of operationSame as PredicateSends gentle electrical current to muscle group via electrodes applied on the skin (Same)
    Target PopulationSame as PredicateAdults (Same)
    Anatomical SiteSame as PredicateArm and legs (Same)
    WaveformSame as PredicateSymmetrical biphasic (Same)
    Maximum Output VoltageSimilar to Predicate, acceptable differencesTENS: 50V @ 500 Ω, 115 V @ 2 kΩ, 125 V @ 10 kΩ; MCR: 0.45 V@ 500 Ω, 1.8 V@ 2 kΩ, 7.4 V @ 10 kΩ (Similar, acceptable error in MCR)
    Maximum Output CurrentSimilar to Predicate, acceptable differencesTENS: 100 mA@ 500 Ω, 58 mA@ 2 kΩ, 13 mA@ 10 kΩ; MCR: 0.92 mA@ 500 Ω, 0.90 mA@ 2 kΩ, 0.74 mA@ 10 kΩ (Similar, acceptable error in MCR)
    Pulse Width (TENS)Similar to Predicate100 ~ 600 µs (Similar, within safe/effective range of predicate)
    Pulse Width (MCR)Similar to Predicate1.25 ms ~ 1.67 s (Similar, within safe/effective range of predicate)
    Frequency (TENS)Similar to Predicate0.5 ~ 250 Hz (Similar, predicate range overriding proposed device suggests safety)
    Frequency (MCR)Similar to Predicate0.3 ~ 400 Hz (Similar, predicate range overriding proposed device suggests safety)
    Maximum IntensitySame as Predicate100 mA (Same)
    Net Charge (µC/pulse)Same as Predicate0 µC @ 500Ω (Same)
    Maximum Phase ChargeSimilar to PredicateTENS: 60 (µC) @ 500Ω; MCR: 75 (µC) @ 500Ω (Similar, predicate range overriding proposed device suggests safety)
    Maximum Current DensitySimilar to Predicate, acceptable differencesTENS: 1.97 (mA/cm²) @ 500Ω; MCR: 0.026 mA/cm² @ 500Ω (Similar, TENS proposed device is overriding predicate; for MCR, slightly larger but proven safe by IEC 60601-2-10)
    Maximum Power DensitySimilar to Predicate, acceptable differencesTENS: 8.26 mW/cm² @ 500Ω; MCR: 0.016 W/cm² @ 500Ω (Similar, TENS proposed device is overriding predicate; MCR within acceptable limits per guidance)
    BiocompatibilityPass ISO 10993-5 and 10Knee brace demonstrated safety by passing ISO 10993-5 and -10. (Meets)
    Electrical SafetyPass ANSI AAMI ES60601-1Demonstrated electrical safety by passing ANSI AAMI ES60601-1 and meeting relevant chapters. (Meets)
    Electromagnetic Compatibility (EMC)Pass IEC 60601-1-2Demonstrated EMC by passing IEC 60601-1-2. (Meets)
    Safety of Nerve & Muscle StimulatorsPass IEC 60601-2-10Demonstrated safety by passing IEC 60601-2-10. (Meets)
    Home Healthcare Environment SafetyPass IEC 60601-1-11Demonstrated safety by passing IEC 60601-1-11. (Meets)

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    This information is not provided in the document. The submission focuses on non-clinical (engineering, safety, and performance) testing, and does not describe a clinical test set or its provenance.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable/not provided. The document describes non-clinical testing and equivalency to a predicate device, not a study involving expert-established ground truth for a test set.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not applicable/not provided. There is no described clinical test set with ground truth requiring adjudication.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    This information is not applicable/not provided. The device is an electro-stimulation therapy device for pain relief, not an AI-assisted diagnostic or interpretative device that would typically involve human "readers" or MRMC studies for AI improvement.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

    This information is not applicable/not provided. The device is a therapy device, not an algorithm, and its performance is assessed against electrical and safety standards, not standalone diagnostic accuracy.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    This information is not applicable/not provided. The "ground truth" for the non-clinical tests involved comparing the device's measured electrical outputs and safety characteristics against established international standards (ISO, ANSI, IEC) and the specifications of the predicate device.

    8. The sample size for the training set

    This information is not applicable/not provided. As this is a 510(k) for a physical medical device (electro-stimulation therapy), not an AI/ML algorithm, there is no "training set" in the conventional sense.

    9. How the ground truth for the training set was established

    This information is not applicable/not provided. See response to point 8.

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