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510(k) Data Aggregation

    K Number
    K121305
    Date Cleared
    2012-09-25

    (147 days)

    Product Code
    Regulation Number
    882.5890
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    STERLING MEDICAL IMPULSE 3 STIMULATOR

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

    Interferential Stimulation (INF) is used for symptomatic relief and management of chronic (Iongterm) intractable pain and/or as an adjunctive treatment in the management of postsurgical and post-traumatic acute pain.

    External electrical neuromuscular stimulation (NMES) using biphasic output is indicated as therapeutic adjunct for: prevention or retardation of muscle disuse atrophy; relaxation of muscle spasm; muscle reeducation; maintaining and increasing the range of motion; increasing local blood circulation and as immediate postsurgical stimulation of caff muscles to prevent venous thrombosis.

    Transcutaneous Electrical Nerve Stimulation (TENS) is used for the symptomatic relief and management of chronic (long-term) intractable pain and/or as an adjunctive treatment in the management of post-surgical and post-traumatic acute pain problems.

    Device Description

    The Impulse 3 is a portable two channel, battery operated combination electrical neuromuscular stimulator (NMES), interferential stimulator (INF), and transcutaneous electrical nerve stimulator (TENS) unit for pain control, and muscle stimulation. This device, supporting symmetric biphasic, pulsed sine, and asymmetrical biphasic waveforms can be used with the preprogrammed protocols or can be manually configured. A graphical display is provided to provide the user a verbose interface to assist in programming the configurable protocols.

    The device is supplied with electrodes and electrode leads, non-replaceable batteries, wall adapter, instruction manual, and carrying case.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the Sterling Medical Impulse 3 Stimulator. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving enhanced effectiveness through clinical studies. Therefore, the information typically found in a clinical study report for an AI/ML device (e.g., sample size, expert qualifications, adjudication methods, effect size of AI assistance, standalone performance) is not directly applicable or available in this document.

    Instead, the acceptance criteria for this device are based on demonstrating that its technological characteristics and performance are substantially equivalent to existing predicate devices, and that any differences do not raise new questions of safety or effectiveness. The study that proves this is a non-clinical performance summary based on bench testing and comparison to the specifications of predicate devices.

    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 devices. The device performance is reported by comparing its specifications directly against those of the predicate devices. Due to the extensive nature of the comparison, only a summary of key parameters is provided below. The full details are elaborated in the tables within the original document.

    Parameter CategoryAcceptance Criteria (based on predicate ranges/values)Reported Device Performance (Impulse 3)
    General Device Parameters
    Power Source (Primary)Comparable to predicate lithium-ion/AA/9V batteries2x 750mA, 3.7V, Li-ion, rechargeable
    Patient Leakage Current (Normal Condition)≤ 11µA (predicate range)7µA
    Patient Leakage Current (Single Fault)≤ 116µA (predicate range)98µA
    Avg DC Current (device on, no pulses)≤ 1µA (predicate)1µA
    Output ModesTENS, NMES, INF (combination of predicates)3 (TENS, NMES, INF)
    Number of Output Channels2 or 4 (predicate range)2
    Regulated Current/VoltageRegulated Current (all predicates)Regulated Current
    Software/Firmware/Microprocessor ControlYes (all predicates)Yes
    Automatic No-Load TripYes or No (some predicates have it)Yes (turns off after 1 minute)
    Automatic Shut OffYes (all predicates)Yes (after prescribed program)
    User Override ControlYes (all predicates)Yes
    Indicator DisplaysOn/Off, Low Battery, Voltage/Current (all predicates)Yes (all)
    Timer Range1-60 minutes (all predicates)1-60 minutes
    Compliance to Voluntary StandardsYes (all predicates)Yes
    Compliance to 21 CFR 898Yes (all predicates)Yes
    Weight4.48 oz. to 11.4 oz. (predicate range)6.50 oz.
    DimensionsComparable to predicate devices3.1" x 4.8" x 1.3"
    Housing MaterialsPlastic, ABS plasticABS 94 HB Plastic Body
    TENS Mode Parameters
    WaveformPulsed asymmetrical biphasic (predicates)Pulsed asymmetrical biphasic
    ShapeRectangular (predicates)Rectangular
    Max Output VoltageVaries, e.g., 27.5V-96V @ 500Ω (predicate range)40.6V @ 500Ω (within range)
    Max Output CurrentVaries, e.g., 43mA-96mA @ 500Ω (predicate range)81.3mA @ 500Ω (within range)
    Pulse Duration10-450µs (predicate range)50-300µs
    Frequency1-120 pps (all predicates)1-120 pps
    Max Phase Charge16.5µC - 24.0µC @ 500Ω (predicate range)21.7µC @ 500Ω (within range)
    Max Current Density0.42mA/cm² - 0.74mA/cm² @ 500Ω (predicate range)0.70mA/cm² @ 500Ω (within range)
    Max Avg Current1.98mA - 3.60mA (predicate range)2.61mA (within range)
    Max Avg Power Density2.18mW/cm² - 6.91mW/cm² (predicate range)4.81mW/cm² (within range)
    Burst Mode (Pulses per burst, Bursts per second, Burst duration, Duty Cycle)Comparable to Sterling TENS & QuadStar IIComparable
    Effect of battery/charger voltage variationsNone, output not affected (QuadStar II baseline)None, output not affected
    INF Mode Parameters
    WaveformSymmetrical biphasic (predicates)Symmetrical biphasic
    ShapeSinusoidal, Square (predicates)Sinusoidal
    Max Output VoltageVaries, e.g., 17.1V-40.6V @ 500Ω (predicate range)26.7V @ 500Ω (within range)
    Max Output CurrentVaries, e.g., 34mA-66mA @ 500Ω (predicate range)53mA @ 500Ω (within range)
    Pulse Duration250µs (predicates)250µs
    Frequency4000-4150Hz (predicates)4000-4150Hz
    Max Phase Charge4.28µC-5.73µC @ 500Ω (predicate range)4.72µC @ 500Ω (within range)
    Max Current Density1.37mA/cm² - 1.92mA/cm² @ 500Ω (predicate range)1.92mA/cm² @ 500Ω (within range)
    Max Avg Current34.2mA - 45.8mA (predicate range)37.8mA (within range)
    Max Avg Power Density23.4mW/cm²-42.0mW/cm² (predicate range)36.3mW/cm² (within range)
    NMES AC Mode Parameters
    WaveformPulsed symmetrical biphasic (predicates)Pulsed symmetrical biphasic
    ShapeRectangular (predicates)Rectangular
    Max Output VoltageVaries, e.g., 28.6V-66.4V @ 500Ω (predicate range)26.4V @ 500Ω (comparable)
    Max Output CurrentVaries, e.g., 53mA-64mA @ 500Ω (predicate range)53mA @ 500Ω (comparable)
    Pulse Duration50-400µs (predicate range)50-300µs
    Frequency1-120 pps (predicates)1-120 pps
    Max Phase Charge31.7µC-34.3µC @ 500Ω (predicate range)31.7µC @ 500Ω (within range)
    Max Current Density0.62mA/cm² - 0.72mA/cm² @ 500Ω (predicate range)0.72mA/cm² @ 500Ω (within range)
    Max Avg Current3.8mA - 4.13mA (predicate range)3.8mA (within range)
    Max Avg Power Density4.74mW/cm² - 5.11mW/cm² (predicate range)5.11mW/cm² (within range)
    Burst Mode ON/OFF Time0-99 seconds / 0-99 seconds (predicates)1-99 seconds / 0-99 seconds
    NMES Russian Mode Parameters
    WaveformGated symmetrical biphasic (predicates)Gated symmetrical biphasic
    ShapeRectangular (predicates)Rectangular
    Max Output VoltageVaries, e.g., 28.7V-36.6V @ 500Ω (predicate range)26.4V @ 500Ω (comparable)
    Max Output CurrentVaries, e.g., 57mA-17.3mA @ 500Ω (predicate range)53mA @ 500Ω (comparable)
    Pulse Duration400µs (predicates)400µs
    Frequency50Hz (predicates)50Hz
    Max Phase Charge21.1µC-23.0µC @ 500Ω (predicate range)21.1µC @ 500Ω (within range)
    Max Current Density1.6mA/cm² - 1.9mA/cm² @ 500Ω (predicate range)1.9mA/cm² @ 500Ω (within range)
    Max Avg Current26.4mA - 28.7mA (predicate range)26.4mA (within range)
    Max Avg Power Density33.0mW/cm²-35.5mW/cm² (predicate range)35.5mW/cm² (within range)
    Burst Mode ON/OFF Time1-99 seconds / 0-99 seconds (predicates)1-99 seconds / 0-99 seconds

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

    • Test Set Sample Size: Not applicable in the context of an electrical stimulator 510(k) submission based on bench testing. The "test set" here refers to the device itself and its measured output parameters.
    • Data Provenance: The data comes from the technical specifications and measurements of the Sterling Medical Impulse 3 Stimulator and the predicate devices. This is non-clinical, controlled bench testing data, not human patient data.

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

    • Number of Experts: Not applicable. The "ground truth" for electrical stimulation parameters is established through engineering measurements and adherence to industry standards, not expert medical opinion.
    • Qualifications of Experts: N/A.

    4. Adjudication method for the test set

    • Adjudication Method: Not applicable. The "test set" involves comparing technical specifications and measurements, which are quantitative and objectively verifiable, not subjective interpretations 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

    • MRMC Study: No. This is not a diagnostic device involving human readers or AI assistance.

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

    • Standalone Performance: Not applicable. This device is an electrical stimulator, not an algorithm, and does not have "human-in-the-loop" performance in the sense of a diagnostic AI. Its performance is inherent in its electrical output and functional controls.

    7. The type of ground truth used

    • Ground Truth Type: Engineering specifications, measured electrical parameters (voltage, current, pulse duration, frequency, etc.), and compliance with voluntary standards (e.g., IEC 60601-1). The "ground truth" is established by these objective, quantifiable technical measures.

    8. The sample size for the training set

    • Training Set Sample Size: Not applicable. This device does not use an AI/ML algorithm that requires a training set.

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

    • Ground Truth Establishment for Training Set: Not applicable, as there is no training set for an AI/ML algorithm.
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