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510(k) Data Aggregation

    K Number
    K240788
    Date Cleared
    2025-06-04

    (439 days)

    Product Code
    Regulation Number
    890.5300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Ultrasound Stimulator

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

    Apply stationary use of ultrasound to: Generate deep heat within body tissues for the treatment of selected medical conditions such as the relief of pain, the relief of muscle spasms, the treatment of joint contractures, and the local increase in circulation.

    Apply continuous movement of ultrasound for:

    1. Pain.
    2. Pain relief, muscle spasms, and joint contractures.
    3. Relief of pain, muscle spasms, and joint contractures that may be associated with:
      • Adhesive capsulitis,
      • Bursitis with slight calcification,
      • Myositis,
      • Soft tissue injuries, and
      • Shortened tendons due to past injuries and scar tissues.
    4. Relief of pain, muscle spasms, and joint contractures resulting from:
      • Capsular tightness, and
      • Capsular scarring.
    5. Localized increase in blood flow.
    6. Increased range of motion of contracted joint using heat and stretch techniques.
    Device Description

    As a portable and rechargeable prescriptive device in the home or clinical/hospital setting, the subject device is intended to apply ultrasound to the patient's treatment site. It is demonstrated ultrasound can be used to apply therapeutic deep heat for the treatment of medical conditions including relief of pain, muscle spasms, and joint contractures.

    It is intended to be used for 30 minutes per cycle (up to 4 cycles) in the home or clinical/hospital setting by or under the direction of a medical professional to apply ultrasound to the patient's treatment site. The device automatically alerts the patient in case of improper application or performance. All the control components and the rechargeable battery of the device are protectively housed, and the device is connected to one or two applicators of ultrasound.

    The subject device consists of the main device, the applicator, the charger/adapter, the liquid and/or solid ultrasound gel, and the sticky pad. For the best result, use the ultrasound gel and the sticky pad supplied.

    AI/ML Overview

    This looks like a fascinating case study. Based on the provided FDA 510(k) clearance letter and summary, here's an analysis of the acceptance criteria and the study that proves the device meets them.

    It's important to note that this document is for an Ultrasound Stimulator (Ultrasonic Diathermy), which delivers therapeutic ultrasound, not an AI/Software as a Medical Device (SaMD) that typically involves image analysis or diagnostic support. Therefore, many of the typical acceptance criteria and study designs related to diagnostic accuracy, MRMC studies, and nuanced ground truth establishment for AI models (as implied by the original request's detailed points) are not applicable to this type of physical therapy device.

    The "acceptance criteria" here are primarily based on demonstrating substantial equivalence to predicate devices through engineering specifications, performance testing, and safety profiles, rather than clinical efficacy studies in the way an AI diagnostic tool would require.


    Acceptance Criteria and Study Proving Device Meets Criteria

    Given that the device is an Ultrasound Stimulator aiming for 510(k) clearance based on substantial equivalence, the "acceptance criteria" are not framed in terms of diagnostic performance metrics (e.g., sensitivity, specificity, AUC) but rather in terms of demonstrating that its technical characteristics, performance, and safety are equivalent to legally marketed predicate devices. The "study" proving it meets these criteria is a comprehensive set of non-clinical, bench performance tests and comparisons.


    1. Table of Acceptance Criteria and Reported Device Performance

    For an Ultrasound Stimulator, the "acceptance criteria" are primarily a demonstration of equivalence to the predicate devices across various technical and functional parameters, and compliance with relevant safety standards. The "reported device performance" are the results of the non-clinical tests and direct comparisons to the predicate devices.

    Parameter/Acceptance Criteria CategorySpecific Acceptance Criteria (Demonstrated Equivalence/Compliance)Reported Device Performance (Subject Device)
    Intended UseIdentical or substantially equivalent indications to predicate device.Apply stationary/continuous ultrasound for deep heat, pain relief, muscle spasms, joint contractures, increased circulation, range of motion (identical to primary predicate, similar to other predicate).
    Product CodeIdentical to predicate device.IMI, PFW (Identical to predicate ManaSport+, and PFW to sam 2.0)
    Prescription StatusIdentical (Prescription Use).Prescription Use (Identical).
    Power SourceSimilar, safe power delivery.100~240 Vac with 5Vdc Input and rechargeable 3.7Vdc battery (Identical to primary predicate, similar to other predicate).
    Number of Outputs1 or 2 outputs.1 or 2 (Identical to sam 2.0, similar to ManaSport+ which is 1).
    Software/Microprocessor ControlPresence and safe operation.Yes (Identical).
    Safety FeaturesAutomatic No-Load Trip, Automatic Shut Off, User Override Control, Indicator Display (On/Off, Low Battery).All 'Yes' for these features (Identical where predicate information available).
    Timer RangeFunctionally acceptable and safe timer range.30 minutes (per cycle), max 4 cycles (Longer than primary predicate (20min), shorter than predicate (240min), deemed safe by temperature control).
    Compliance with Voluntary StandardsCompliance with relevant IEC/ISO electrical safety, EM compatibility, and biocompatibility standards.Yes (Complies with ANSI AAMI ES60601-1, IEC 60601-1-2, IEC 60601-2-5, ISO 10993-5, ISO 10993-10, IEC 60601-1-6, IEC 60601-1-11).
    BiocompatibilityNon-toxic, non-irritating materials.Yes (Identical).
    SterilityNon-sterile device.Non-Sterile (Identical).
    Housing Construction MaterialCompatible material.ABS (Identical).
    Physical Dimensions/WeightSimilar physical characteristics not affecting safety/effectiveness.Console/Generator: 138×62×22 mm, 0.18 kg (Similar to predicates). Treatment Head: 61 x 45 x 12 mm, 0.047 kg (Similar to predicates).
    Functions and DesignUltrasound generation.Ultrasound (Identical).
    Frequency1.5 MHz or similar.1.5 MHz ± 10% (Identical to primary predicate, similar to other predicate's 3MHz).
    Leakage CurrentBelow maximum limit.
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