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510(k) Data Aggregation

    K Number
    K223541
    Date Cleared
    2023-10-27

    (336 days)

    Product Code
    Regulation Number
    890.5650
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Cold/Hot Compression

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

    Cold/Hot Compression combines cold, heat, contrast, and compression therapy. It is intended to treat post-surgical and acute injuries to reduce edema, swelling, and pain for which cold and compression are indicated. It is intended to treat post traumatic and post-surgical medical and/or surgical conditions for which localized thermal therapy (hot or cold) are indicated.

    Cold/Hot Compression also provide DVT therapy. It is intended to reduce the risk of the formation of deep venous thrombosis (DVT) by aiding blood flow back to the heart via lower extremity limb compression.

    ColdHot Compression is intended to be used by, or on the order of, licensed health care professionals in rehabilitation facilities, outpatient clinics, athletic training settings, and home settings.

    Device Description

    The subject device is a prescriptive device, which combines cold/hot therapy and air compression. It is intended to treat post-surgical and acute injuries to reduce edema, swelling, and pain for which cold and compression are indicated. It is intended to treat post traumatic and post-surgical medical and/or surgical conditions for which localized thermal therapy (hot or cold) are indicated. It is intended to reduce the risk of the formation of deep venous thrombosis (DVT) by aiding blood flow back to the heart via lower extremity limb compression.

    The subject device comes with the thermal-therapy wraps and the DVT wraps. The thermal-therapy wrap is nylon fabric on one side and velvet cloth on the other side; the DVT wrap is velvet on both sides. To avoid any potential adverse skin reactions such as redness, irritation, and cold/hot injury, the sock/clothing should be worn by the patient prior to use.

    The subject device includes a main device and an optional DVT device, and has a limited shelf life of 3 years, based on the charge retention characteristics of the device's battery.

    AI/ML Overview

    This document is a 510(k) summary, which focuses on demonstrating substantial equivalence to a predicate device rather than presenting a detailed clinical study with acceptance criteria and performance metrics in the typical sense.

    Therefore, the information requested might not be fully available or explicitly stated in the provided text as it would be in a clinical study report.

    Based on the provided text, here's what can be extracted and inferred:

    1. Table of acceptance criteria and the reported device performance

    The concept of "acceptance criteria" here is primarily tied to demonstrating equivalence to the predicate device. The performance is assessed by comparing technical specifications.

    FeaturePredicate Device Performance / Range (Therm-X)Subject Device Performance / Range (Cold/Hot Compression)Equivalence Note
    Cold Therapy (Default)34°F, 45°F, 55°F50°FEquivalent (Note 1)
    Cold Therapy (Custom)34°F - 55°F41°F-55°FEquivalent (Note 1)
    Cold Therapy (Lowest)34°F or 40°F41°FEquivalent (Note 1)
    Heat Therapy (Default)105°F, 107°F, 110°F105°FEquivalent (Note 2)
    Heat Therapy (Custom)105°F - 110°F105°F-109°FEquivalent (Note 2)
    Heat Therapy (Highest)110°F109°FEquivalent (Note 2)
    Edema Pressure (Lowest)5 mm Hg or 20 mmHg15 mm HgEquivalent (Note 3)
    Edema Pressure (Highest)70 mmHg75 mm HgEquivalent (Note 3)
    DVT Pressure (Calf)50-70 mmHg55 mmHgEquivalent (Note 4)
    DVT Pressure (Foot)90 - 130 mmHg130 mmHgEquivalent (Note 4)
    Cycle Length (Longest)40 or 60 minutes60 minutesEquivalent (Note 5)
    Contrast Therapy (Heat)105°F105°FEquivalent (Note 6)
    Contrast Therapy (Cold)38°F49°FEquivalent (Note 6)
    Contrast Cycle (Heat)3-10 minutes10 minutesEquivalent (Note 7)
    Contrast Cycle (Cold)3-10 minutes20 minutesEquivalent (Note 7)
    Reservoir Fluid Capacity650 mL350 mLEquivalent (Note 8)

    Notes on Equivalence (as explained in the document):

    • Note 1 (Cold Therapy): The subject device's cold therapy temperatures are within or similar to the range of the predicate/reference devices, and are adjustable by professionals. Differences are considered insignificant and do not raise new safety/effectiveness concerns.
    • Note 2 (Heat Therapy): Similar to cold therapy, the heat therapy temperatures are within or similar to the predicate/reference devices and adjustable. Differences are insignificant.
    • Note 3 (Edema Pressure): The subject device's lowest pressure is within the predicate's range and similar to the reference. The highest pressure is slightly higher but still adjustable by professionals. Differences are insignificant.
    • Note 4 (DVT Pressure): The subject device's DVT pressures for calf and foot fall within or are slightly higher than the predicate/reference devices. Differences are insignificant.
    • Note 5 (Cycle Length): The subject device's longest cycle length is similar to or longer than the predicate's, though shorter than the reference. Cycle length is adjustable. Differences are insignificant.
    • Note 6 (Contrast Therapy Temp): The subject device's contrast therapy temperatures are either similar to the predicate or identical to the reference. No new safety/effectiveness issues.
    • Note 7 (Contrast Cycle Length): The contrast therapy cycle length is slightly different from the predicate but identical to the reference. No new safety/effectiveness issues.
    • Note 8 (Reservoir Fluid Capacity): The subject device's capacity is smaller than the predicate's but larger than the reference's. This difference does not raise new safety/effectiveness issues.

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

    The document explicitly states: "Clinical testing was not needed in support of this 510(k) application."

    Therefore, there is no test set in the sense of patient data from a clinical study. The "testing" involved non-clinical bench tests and comparison of specifications to predicate devices. The data provenance is from internal JKH Health Co., Ltd. testing and comparison to publicly available predicate and reference device information.

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

    Not applicable. As no clinical testing was performed, there was no "test set" requiring expert ground truth establishment for a patient-based diagnostic or therapeutic outcome.

    4. Adjudication method 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 a physical medical device (Cold/Hot Compression unit), not an AI-powered diagnostic or assistive tool for human readers.

    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

    The "ground truth" for the non-clinical tests would be the measured physical parameters of the device (e.g., actual temperature output, actual pressure levels, cycle times) against the device's design specifications and the specifications of the predicate devices. For safety standards, the ground truth is adherence to the requirements of the standards (e.g., ANSI AAMI ES60601-1, IEC 60601-1-2).

    8. The sample size for the training set

    Not applicable. There is no mention of a "training set" as this is not an AI/machine learning device. The design was likely based on engineering principles and comparison to existing devices.

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

    Not applicable. No training set was used.

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