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510(k) Data Aggregation

    K Number
    K250244
    Date Cleared
    2025-07-25

    (179 days)

    Product Code
    Regulation Number
    890.5650
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Compression Therapy Device (Model: LGT‐2210DS) is intended for Prophylaxis and treatment of edema (Chronic venous edema, Lymphedema, Post‐mastectomy lymphedema).

    Compression Therapy Device (Model: LGT‐2210DS) is intended exclusively for use by medical specialists and is only allowed to be used by qualified and instructed medical persons in clinical and hospital. The compression Therapy Device (Model: LGT‐2210DS) is designed to be used in patients over 22 years old.

    Device Description

    The LGT‐2210DS is a compression therapy device comprised of an intermittent pneumatic controller, sleeves with 6‐chamber, 4‐chamber combined and connectable hoses. 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.

    AI/ML Overview

    The provided FDA 510(k) clearance letter is for a Compression Therapy Device (LGT-2210DS). This device is a physical therapy device and not an AI/ML medical device. Therefore, the document does not contain the information required to answer questions related to AI/ML device testing, such as acceptance criteria, performance metrics (sensitivity, specificity, AUROC), sample sizes for AI model testing, expert involvement in ground truth establishment, MRMC studies, or training set details.

    The document primarily focuses on establishing substantial equivalence to a predicate device (Compressible Limb Therapy System MK300L) based on:

    • Intended Use: Prophylaxis and treatment of edema (Chronic venous edema, Lymphedema, Post-mastectomy lymphedema).
    • Technological Characteristics: Intermittent pneumatic compression, compressor and valve system, sequential inflation.
    • Safety and Performance Bench Testing: Service life, reliability, electrical safety (IEC 60601-1), EMC (IEC 60601-1-2), usability (IEC 60601-1-6), software V&V (specifically cybersecurity as the main software aspect noted), and biocompatibility (ISO 10993 series).

    No AI/ML components are mentioned or implied in this 510(k) submission. The "Software Verification and Validation Testing" section explicitly states: "There is no wireless connection, Bluetooth, internet connection in the device, and Power socket is only for battery charging connection. The client information can be exported by entered Password with USB flash drive. Testing related to Cybersecurity was performed." This confirms the software involved is minimal and not AI-driven.

    Therefore, I cannot provide a response to the prompt's specific requirements, as the provided document does not contain information about an AI/ML medical device.

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    K Number
    K191856
    Date Cleared
    2020-03-19

    (252 days)

    Product Code
    Regulation Number
    870.5800
    Reference & Predicate Devices
    Predicate For
    N/A
    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
    Predicate For
    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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