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510(k) Data Aggregation

    K Number
    K244030
    Date Cleared
    2025-03-28

    (88 days)

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

    Needle Stimulator (CMNS6-1 PLUS, CMNS6-3)

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

    Needle Stimulator is an electro-acupuncture stimulator device, which is indicated for use in the practice of acupuncture by qualified practitioners of acupuncture as determined by the states.

    Device Description

    Needle Stimulator is an electro-acupuncture device for acupuncture therapy, powered by 6 pieces of 1.5V batteries or AC 100-240V. It is composed of a console and 6 channels of electrode cables with alligator type connectors. The console has the operating controls including function knobs or buttons. Needle Stimulator does not equip with acupuncture needles. The practitioners should select legally marketed needles.

    AI/ML Overview

    The provided text is an FDA 510(k) summary for a medical device called "Needle Stimulator." It details the device, its intended use, and a comparison to a predicate device to establish substantial equivalence.

    However, the provided text does not contain any information about a study that proves the device meets specific performance acceptance criteria for an AI/ML-based device. The information is primarily focused on electrical safety, essential performance, and electromagnetic compatibility tests as per general medical device standards, and not on the performance metrics of an AI system detecting or classifying something.

    The recurring phrases like "Similar Note 1," "Similar Note 2," etc., refer to explanations for minor differences between the subject device and the predicate device in terms of hardware specifications and compliance with voluntary standards. They are not related to an AI/ML performance study.

    Specifically, the section "6. Clinical Test" states, "Clinical data were not included in this submission." This strongly indicates that no clinical study was performed for this 510(k) submission, and therefore, no AI/ML performance data against ground truth or human readers would be available within this document.

    Therefore, I cannot fulfill your request to describe the acceptance criteria and the study that proves the device meets the acceptance criteria for an AI/ML-based device based on the information provided. The document describes a standard medical device (an electro-acupuncture stimulator), not an AI/ML product requiring the detailed performance study you've outlined.

    If this was a misunderstanding and you expected a generic answer for an AI/ML device based on typical FDA requirements, please clarify. But based solely on the provided text, the requested information is absent.

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    K Number
    K220153
    Date Cleared
    2022-03-18

    (58 days)

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

    Needle Stimulator (Model: RJNS6-1)

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

    Needle Stimulator (Model: RJNS6-1) is an electro-acupuncture stimulator device, which is indicated for use in the practice of acupuncture by qualified practitioners of acupuncture as determined by the states.

    Device Description

    Needle Stimulator (Model: RJNS6-1) is an electro-acupuncture device for acupuncture therapy, powered by 6 pieces of 1.5V batteries or AC 100-240V. It is composed of a LCD, a console and 6 channels of electrode cables with alligator type connectors. Only 3 channels at most could work together on single patient. The console has the operating elements of Channel selecting button, Setting button, Operation suspending switch button, Wave-selecting button, On/off switch, Mute button, Therapy time adjusting button, Output frequency adjusting button, Intensity adjust knobs, and Output indicator light. Needle Stimulator (Model: RJNS6-1) does not equip with acupuncture needles. The practitioners should select 510(k) cleared needles (with minimum diameter of 0.40mm and insertion depth of 16mm) for use.

    AI/ML Overview

    The provided text describes the 510(k) submission for the "Needle Stimulator (Model: RJNS6-1)" and its substantial equivalence to a predicate device. However, the document does not contain information about acceptance criteria or a study proving the device meets those criteria in the context of an AI/human-in-the-loop diagnostic system.

    The device in question is an electro-acupuncture stimulator, and the FDA's review focuses on its electrical safety, performance parameters, and substantial equivalence to a legally marketed predicate device (K202861). The testing mentioned is related to electrical safety and electromagnetic compatibility (e.g., IEC 60601 standards), not diagnostic performance or AI assistance.

    Therefore, I cannot provide a table of acceptance criteria, device performance, sample sizes for test/training sets, expert qualifications, adjudication methods, MRMC study details, standalone performance, or ground truth establishment as these concepts are not applicable or mentioned in the context of this specific device's 510(k) submission as provided.

    The document confirms the following:

    • Device Name: Needle Stimulator (Model: RJNS6-1)
    • Intended Use: An electro-acupuncture stimulator indicated for use in the practice of acupuncture by qualified practitioners.
    • Regulatory Pathway: 510(k) Premarket Notification.
    • Predicate Device: Needle Stimulator (Model: CMNS6-2), K202861.
    • Performance Evaluation: Substantial equivalence based on non-clinical tests (electrical safety, EMC, etc.) according to recognized standards (ANSI AAMI ES60601-1, IEC 60601-1-2, IEC 60601-2-10).

    In summary, the provided text does not contain the specific information requested about acceptance criteria and a study proving an AI-powered device meets them. The evaluation described is for a non-AI medical device and focuses on electrical and functional equivalence.

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    K Number
    K202861
    Date Cleared
    2021-08-27

    (333 days)

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

    Needle Stimulator

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

    Needle Stimulator is an electro-acupuncture stimulator device, which is indicated for use in the practice of acupuncture by qualified practitioners of acupuncture as determined by the states.

    Device Description

    Needle Stimulator is an electro-acupuncture device for acupuncture therapy powered by 6 pieces of 1.5V batteries or AC 100-240V. It is composed of a console and 6 channels of electrode cables with alligator type connectors. The console has the operating controls including function knobs or buttons. Needle Stimulator does not equip with acupuncture needles. The practitioners should select legally marketed needles.

    AI/ML Overview

    Based on the provided text, the device in question is a "Needle Stimulator," an electro-acupuncture stimulator. The document is a 510(k) Summary, which aims to demonstrate that a new device is substantially equivalent to a legally marketed predicate device. This type of submission relies on comparisons to demonstrate safety and effectiveness rather than conducting extensive clinical studies typically associated with novel devices.

    Therefore, the acceptance criteria and the "study" proving the device meets them are primarily based on equivalence to a predicate device through engineering and performance testing, rather than a clinical efficacy study with human subjects.

    Here's a breakdown of the requested information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are implicitly defined by the parameters of the predicate device (K130768) and compliance with relevant safety standards. The reported device performance is presented as a comparison to these predicate specifications.

    ParameterAcceptance Criteria (Predicate Device K130768)Reported Device Performance (Model CMNS6-1)Reported Device Performance (Model CMNS6-2)Remarks (from text)
    Intended UseElectro-acupuncture stimulator for qualified practitionersSameSameSame
    Type of UsePrescription useSameSameSame
    Power Source(s)DC 1.5Vx6 Type R14DC 1.5Vx6 Type R14 or AC 100-240VDC 1.5Vx6 Type R14 or AC 100-240VNote 1: AC power passed IEC 60601-1 and EMC tests
    Method of Line Current IsolationType BFType BFType BFSame
    Patient Leakage Current (Normal)2µA2µA2µASame
    Patient Leakage Current (Single Fault)≤50µA≤50µA≤50µASame
    Avg DC current through electrodes (no pulses)N/AN/AN/ASame
    Number of Output Modes3 (continuous/interrupted/dense-disperse wave)SameSameSame
    Number of Output channels6 (3 channels at most work together on single patient)SameSameSame
    Synchronous or AlternatingSynchronousSynchronousSynchronousSame
    Method of Channel IsolationTransformerTransformerTransformerSame
    Regulated Current or Voltage?Voltage ControlVoltage ControlVoltage ControlSame
    Software/Firmware/Microprocessor Control?YesYesYesSame
    Automatic Overload Trip?NoNoNoSame
    Automatic No-Load Trip?NoNoNoSame
    Automatic Shut Off?YesYesYesSame
    User Override Control?YesYesYesSame
    On/Off Status Indicator?YesYesYesSame
    Low Battery Indicator?YesYesYesSame
    Voltage/Current Level Indicator?YesYesYesSame
    Timer Range (minutes)0-60min0-60min1-99minNote 2 (for CMNS6-2): Difference insignificant
    Compliance with Voluntary Standards?IEC 60601-1, IEC 60601-2-10, IEC 60601-1-2SameSameSame
    Compliance with 21 CFR 898?YesYesYesSame
    Weight (grams)740g740gapprox. 657gNote 2 (for CMNS6-2): Difference insignificant
    Dimensions [W x H x D]23015555mm23015555mm23818475mmNote 2 (for CMNS6-2): Difference insignificant
    Housing Materials & ConstructionABS; Injection moldedABS; Injection moldedABS; Injection moldedSame
    WaveformBiphasicBiphasicBiphasicSame
    ShapeAsymmetric biphasic square waveAsymmetric biphasic square waveAsymmetric biphasic square waveSame
    Max Output Voltage (@500Ω)27V±10%27V±10%27V±10%Same
    Max Output Voltage (@2kΩ)60.4V±10%60.4V±10%60.4V±10%Same
    Max Output Voltage (@10kΩ)75V±10%75V±10%75V±10%Same
    Max Output Current (@500Ω)54mA±10%54mA±10%54mA±10%Same
    Max Output Current (@2kΩ)30.2mA±10%30.2mA±10%30.2mA±10%Same
    Max Output Current (@10kΩ)7.5mA±10%7.5mA±10%7.5mA±10%Same
    Pulse width (Positive)200µs±10%200µs±10%175µs±10%Note 3 (for CMNS6-2): Passed IEC 60601-2-10 tests
    Pulse width (Negative)1030µs (5.15 x (+Phase))1030µs (5.15 x (+Phase))1051µs (6 x (+Phase))Note 3 (for CMNS6-2): Passed IEC 60601-2-10 tests
    Pulse Period (msec)10~1000ms10~1000ms10~1000msSame
    Max. pulse frequency (Rate)1~100Hz±10%1~100Hz±10%1~100Hz±10%Same
    Net Charge (µC per pulse)0µC@500Ω, + and – pulses cancel0µC@500Ω, + and – pulses cancel0µC@500Ω, + and - pulses cancelSame
    Maximum Phase Charge (µC)9.4µC @500Ω9.4µC @500Ω8.225µC @500ΩNote 4 (for CMNS6-2): Complies with standards
    Maximum Average Current (mA)1.08mA @500Ω1.08mA @500Ω0.945mA @500ΩNote 4 (for CMNS6-2): Better safety
    Maximum Current Density (mA/cm², r.m.s.)13.3mA/cm²@500Ω9.4mA/cm²@500Ω8.225mA/cm² @500ΩNote 2 (for K130768 vs CMNS6-1), Note 4 (for K130768 vs CMNS6-2). Calculated by different needle surface areas, within safety limit.
    Maximum Average Power Density (W/cm²)0.2W/cm²@500Ω0.141W/cm²@500Ω0.1234W/cm²@500ΩNote 2 (for K130768 vs CMNS6-1), Note 4 (for K130768 vs CMNS6-2). Calculated by different needle surface areas, within safety limit.
    BiocompatibilityISO10993-5, ISO 10993-10SameSameSame
    AccessoriesLead wires, Alligator type connectorsSameSameSame

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

    The document does not describe a "test set" in the context of clinical data for performance evaluation. Instead, the "testing" refers to engineering and compliance testing of the device prototypes themselves. Therefore, the "sample size" is the manufactured device unit or units tested for compliance.

    • Sample Size: Not applicable in the context of a clinical test set. The testing was performed on the device models themselves (CMNS6-1 and CMNS6-2).
    • Data Provenance: Not specified as clinical data. The tests were likely conducted by the manufacturer in China, given their location. The studies are retrospective in the sense that they are proving equivalency to a device already on the market, but the testing on the new device would have been done prospectively for this submission.

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

    This information is not applicable as the ground truth for this type of submission is established through:

    • Engineering specifications and design requirements.
    • Compliance with recognized national and international safety standards (ANSI AAMI ES60601-1, IEC 60601-1-2, IEC 60601-2-10).
    • Demonstration of substantial equivalence to a legally marketed predicate device.

    No human expert interpretation of clinical data (like radiology reads) is involved in establishing "ground truth" for this device's safety and performance claim.

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

    This is not applicable as there is no clinical test set requiring human adjudication. The "adjudication" is done through engineering measurements and conformity assessments to established standards and predicate specifications.

    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 is not applicable. The device is an electro-acupuncture stimulator, not an AI-powered diagnostic or assistive tool for human readers. No MRMC study was conducted or required for this type of device.

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

    This is not applicable. The device is a physical medical instrument, not a software algorithm. Its performance is inherent in its electrical and mechanical properties, not an algorithm's output.

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

    The "ground truth" for this submission is:

    • Engineering specifications and performance characteristics of the predicate device (K130768).
    • International and national safety standards (ANSI AAMI ES60601-1, IEC 60601-1-2, IEC 60601-2-10), which define acceptable limits for various electrical and physical parameters, ensuring patient and user safety.
    • The premise that if the new device operates within the same safety and performance parameters as a previously cleared predicate and complies with relevant standards, it is "safe and effective."

    8. The sample size for the training set

    This is not applicable. This is not an AI/ML device that requires a "training set."

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

    This is not applicable. As it is not an AI/ML device, there is no training set or associated ground truth establishment process.

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