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510(k) Data Aggregation

    K Number
    K201906
    Date Cleared
    2021-02-24

    (230 days)

    Product Code
    Regulation Number
    882.5890
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Trinity ELE Plus and Trinity ELE Plus Pro devices are intended for facial stimulation and are indicated for over-the counter cosmetic use.

    Device Description

    The Trinity ELE Plus comprises the Trinity ELE Plus device main body, a Trinity ELE Plus microcurrent attachment head, a charging cradle, and a wall-mount power adaptor. A tube of NuFACE® Gel Primer is provided with the subject device as an accessory. The subject device and all its associated components and accessories are reusable and provided non-sterile.

    The Trinity ELE Plus is a hand-held device that produces low levels of microcurrent which is discharged through two dual chrome-plated precise wands for aesthetic purposes. The device provides audible feedback to inform the user to relocate the device to treat a new location on the skin. The device also includes "hum" features to guide the user during the treatment cycle.

    The subject device is powered by one internal rechargeable, non-removable battery which is charged via a provided wireless charging cradle. The charging cradle connects to a provided wall-mount power adaptor. Microcurrent output is cut-off while the device is sitting on the charging cradle either charging the battery or when the battery is fully charged.

    The enclosures of the subject device main body, the attachment head and the charging cradle are made from injection molded ABS thermoplastic material. The same ABS material is used in other FDA-cleared devices. The dual chrome-plated precise wands on the attachment head use chromium. The same chromium material is used in the predicate device dual chrome-plated precise wands.

    The subject device, including the attachment head, measures 6.1" H x 2.4" W x 1.2" D. The charging cradle measures 2.3" H x 3.0" W x 2.7" D.

    The device includes an 'ON/OFF' multi-function button to turn the device on and off, start and stop treatment, increase or decrease the microcurrent output level and pair with a smart device. The device also includes a "BOOST" button that temporarily increases the microcurrent output level.

    The device includes indicator LED's to provide information to the user on the status of the device and the progress of the treatment.

    The subject device is the capable of pairing with compatible smart devices using Bluetooth Low Energy (BLE) wireless communications technology. This technology allows the subject device to communicate with other devices running the NūFACE® App which allows the user to select and run pre-programmed treatment profiles.

    The Trinity ELE Plus provides microcurrent output at selected frequencies from 0.3 to 50 Hz.

    The Trinity ELE Plus is available in two models, a Standard model and a 'Pro'' model. The Trinity ELE Plus Standard model has a maximum output current without Boost of 170 uA, and the Trinity ELE Plus Pro model has a maximum output current without Boost of 200 uA. All other aspects of the Trinity ELE Plus except those related to maximum output current, are the same between the Standard model and Pro models.

    AI/ML Overview

    I regret to inform you that the provided text does not contain the information requested regarding acceptance criteria and a study proving the device meets those criteria.

    The document is a 510(k) premarket notification for the Trinity ELE Plus and Trinity ELE Plus Pro devices. It focuses on demonstrating substantial equivalence to existing predicate devices, rather than establishing and proving new acceptance criteria for the subject device itself.

    Here's a breakdown of what the document does include and why it doesn't answer your specific questions:

    • Indications for Use: The devices are intended for "facial stimulation" and are indicated for "over-the-counter cosmetic use."
    • Technological Characteristics Comparison: There are tables comparing the subject device's features (Type of Energy Output, Energy Delivery, Energy Flow, Energy Output, Microcurrent Boost, Energy Power Source, Power Accessories, Charging Method, Charging Circuitry, Power Supply Type, Special Requirements, Wireless Technology, Output Frequency) and output specifications (Waveform Type, Shape, Max Output Voltage, Max Output Current, Output Tolerance, Pulse Period, Output Frequency, Beat Frequency, Symmetrical Phases, Phase Duration, Net Charge, Max Phase Charge, Max Current Density, Max Power Density, Burst mode information, ON time, OFF time) to those of a predicate device. Many of these are listed as "Same" or "Different," with explanations for why the "Different" aspects do not affect safety and effectiveness.
    • Non-Clinical Performance Data:
      • Biocompatibility Evaluation: This describes the materials used and concludes they are biocompatible based on their use in other FDA-cleared devices or the predicate device.
      • Safety, Performance, and Bench Testing: This section states that EMC, Wireless Coexistence, and bench testing concluded the device "meets and complies with the safety and performance of the applicable standards and bench testing requirements." However, it does not list specific acceptance criteria for these tests or provide detailed results. It also mentions electrical safety tests are "currently being conducted and will be provided to the FDA before the subject device is released to market."
      • Software Verification and Validation: This states the software "meets and complies with the applicable software requirements specifications" but does not detail those specifications or acceptance criteria.
    • No Animal Testing or Clinical Testing: The document explicitly states that substantial equivalence is not supported by animal or clinical testing.

    Therefore, I cannot provide the requested table or answer the questions because the necessary data (specific acceptance criteria, detailed study results proving these criteria are met, sample sizes for test/training sets, ground truth establishment, expert qualifications, adjudication methods, or MRMC study details) is not present in the provided text. The document focuses on demonstrating that the new device is substantially equivalent to a previously cleared device, not on proving its independent performance against new, explicit acceptance criteria.

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    K Number
    K131251
    Device Name
    TRINITY ELE
    Manufacturer
    Date Cleared
    2013-10-01

    (153 days)

    Product Code
    Regulation Number
    882.5890
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Trinity ELE is intended for facial stimulation and is indicated for over-the-counter cosmetic use. (21 CFR 801 Subpart C).
    The Trinity ELE is intended for facial stimulation and is indicated for over-the-counter cosmetic use (21 CFR 807 Subpart C).

    Device Description

    The Trinity ELE is a non-invasive at home, over-the-counter facial stimulation device. The dual spheres of the Trinity ELE are designed for optimal contact with smaller surface areas of the face. The Trinity ELE is extremely responsive as it delivers soft wave micro-current in the millionths of an ampere and has the ability to increase facial contour and firm the skin and muscles. The Trinity ELE continually alternates between the positive and negative probes, and allows the user to adjust settings from approximately 53 to 192 microamps for a personalized comfort level.
    The Trinity ELE measures 2.8" W x 6.2" L x 1.3" D. Its outer case is injection molded of thermoplastic resin. The device comes with a Charging Cradle, which measures 3.1" W x 4.0" L x 3.3" D, to charge the internal batteries of the main body when not in use. The Charging Cradle is powered by DC power from a pre-approved wall adapter Power Supply provided with the device. All charging circuitry is contained within the main body unit itself.
    An ascending sequence of beeps informs the customer the Trinity ELE is ready for use. When the user turns off the device, a descending tone is emitted.
    To promote proper use, a single audio beep informs the user to relocate the device to treat a new location on the skin. The user can also adjust output by pressing the + or - intensity buttons to increase or decrease the micro-current output.

    AI/ML Overview

    The provided text is a 510(k) summary for the Trinity ELE Device, which is a facial stimulation device. The document primarily focuses on establishing substantial equivalence to a predicate device (NuFACE® Trinity) through a comparison of technological characteristics and output specifications. It does not describe a clinical study or performance data against specific acceptance criteria for efficacy in the same way a diagnostic or therapeutic device might.

    Instead, the "acceptance criteria" here are based on demonstrating that the new device (Trinity ELE) is substantially equivalent to a previously cleared device (NuFACE® Trinity), meaning it is as safe and effective. The study that proves this is a non-clinical performance assessment, specifically a direct comparison of the electrical output characteristics of the new device to the predicate device.

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

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

    Since this is a substantial equivalence submission based on technical characteristics, the "acceptance criteria" can be interpreted as the characteristics of the predicate device. The "reported device performance" is how the Trinity ELE compares to those.

    Acceptance Criteria (Predicate Device K103472: NuFACE® Trinity)Reported Device Performance (Trinity ELE K131251)Assessment
    Waveform type: Pulsed BiphasicPulsed BiphasicIdentical to predicate
    Waveform Shape: Modulated SquareModulated SquareIdentical to predicate
    Max Output Voltage (e.g., 137 mV @ 500 Ω)Lower (e.g., 96 mV @ 500 Ω)Less than predicate, but justified by maintaining identical current density with smaller electrodes.
    Max Output Current (e.g., 274 μA @ 500 Ω)Lower (e.g., 193 μA @ 500 Ω)Less than predicate, but justified by maintaining identical current density with smaller electrodes.
    Output Tolerance: +/- 2%+/- 5%Note: The document states "Output Tolerance is identical to the predicate" in the narrative but shows different values in the table (5% vs 2%). This discrepancy needs clarification. However, the narrative claims identicality.
    Pulse Width: 60 ms60 msIdentical to predicate
    Frequency: 8.33 Hz8.33 HzIdentical to predicate
    Max Phase Charge (e.g., 23.9 µC @ 500 Ω)Lower (e.g., 11.5 µC @ 500 Ω)Less than predicate, but justified by maintaining identical current density with smaller electrodes.
    Max Current Density (e.g., 0.518 mA/cm² @ 500 Ω)0.739 mA/cm² @ 500 ΩNote: The narrative states "Max Current Density is identical to the predicate" multiple times, but the table shows a higher value for the Trinity ELE. This discrepancy needs clarification. However, the narrative claims identicality.
    Max Power Density (e.g., 1423 µW/cm² @ 500 Ω)Lower (e.g., 1420 µW/cm² @ 500 Ω)Less than predicate, but justified by maintaining identical current density with smaller electrodes.
    Burst Mode (Pulses per burst): 2020Identical to predicate
    Burst Mode (Pulses per second): 8.38.3Identical to predicate
    Burst Mode (Burst duration): 2.42.4Identical to predicate
    Burst Mode (Duty Cycle): 2020Identical to predicate
    ON Time: ConstantConstantIdentical to predicate
    OFF Time: NoneNoneIdentical to predicate

    Summary of Device Performance against "Acceptance Criteria": The Trinity ELE device was found to have identical waveform type, waveform shape, pulse width, frequency, burst mode characteristics, ON/OFF times, and (according to the narrative) output tolerance, maximum current density, maximum output voltage, maximum output current, maximum phase charge, and maximum power density after accounting for the smaller electrode size to achieve the same current density. The output voltage, current, phase charge, and power density are listed as lower than the predicate, which the applicant justifies as a necessary consequence of smaller electrodes to maintain identical current density, which is the key metric for tissue interaction.

    2- Sample sized used for the test set and the data provenance

    • Sample Size for Test Set: Not applicable. This was a non-clinical performance assessment comparing device specifications, not a study involving human subjects or real-world data to generate a test set.
    • Data Provenance: The data is technical specification comparison between the Trinity ELE (new device) and the NuFACE® Trinity (predicate device), presumably obtained through laboratory testing of both devices. There is no mention of country of origin for data or whether it's retrospective/prospective in the context of clinical data, as this is hardware specification testing.

    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. Ground truth, in this context, would be the measured electrical output specifications of the predicate device, which are inherent to the device's design and operation, not derived from expert consensus on observations.
    • Qualifications of Experts: Not applicable.

    4- Adjudication method for the test set

    • Adjudication Method: Not applicable. This was a comparison of device specifications, not a clinical study requiring adjudication of outcomes or diagnoses.

    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, entirely not applicable. This is a submission for a Transcutaneous Electrical Nerve Stimulator, not an AI-assisted diagnostic or imaging device.

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

    • Standalone Performance: Not applicable. This is a physical stimulating device, not a software algorithm. The comparison was of the device's inherent electrical output.

    7- The type of ground truth used

    • Type of Ground Truth: The "ground truth" for this substantial equivalence claim is the measured electrical output specifications and physical design characteristics of the legally marketed predicate device (NuFACE® Trinity). The new device's specifications are compared directly against these established characteristics to demonstrate equivalence.

    8- The sample size for the training set

    • Sample Size for Training Set: Not applicable. This device does not involve machine learning or a training set in the conventional sense.

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

    • Ground Truth for Training Set Establishment: Not applicable, as there is no training set described.
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