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510(k) Data Aggregation

    K Number
    K191568
    Date Cleared
    2020-03-06

    (267 days)

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

    sam 2.0 Long Duration Ultrasound System

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

    The sam 2.0 Long Duration Ultrasound Device is intended for home use to apply ultrasonic energy to generate deep heat within body tissues for the treatment of selected medical conditions such as the relief of muscle spasms, the treatment of joint contractures, and the local increase in circulation.

    Device Description

    The sam 2.0 Long Duration Ultrasound Device consists of:

    • Rechargeable Power Controller and Timer
    • Ultrasound Generating Applicators
    • Applicator Adaptor Cables
      Single use disposable accessories
    • Ultrasonic Coupling Patch
      The Power Controller and cables can be used to power one or two Applicators simultaneously to generate ultrasonic energy at one frequency (3 MHz) and one power setting (0.65 W) per Applicator. In single Applicator mode, the patient can receive 0.65 W at 3 MHz. In dual Applicator mode, the patient can receive 1.3 W at 3 MHz. The Applicators are applied to the skin with onetime use Ultrasonic Coupling Patches.
      The sam 2.0 Long Duration Ultrasound Device contains firmware for logging usage time. There is no control function of this firmware.
      The system is intended for prescription home use to apply ultrasonic energy for a long duration (4 hours) to generate deep heat within body tissues and treat 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.
    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study information for the ZetrOZ Systems sam 2.0 Long Duration Ultrasound System:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided text focuses on demonstrating substantial equivalence to a predicate device (ZetrOZ Ultrasonic Diathermy Device, K130978) rather than detailing specific, quantified acceptance criteria for novel performance claims. The "comparison" column in the table implicitly indicates where performance is identical or similar to the predicate. Therefore, the acceptance criteria are effectively defined by matching or being similar to the predicate device's established performance specifications.

    Characteristic / Acceptance Criteria (as per predicate)sam 2.0 Long Duration Ultrasound Device Performance (Subject)Comparison to Predicate
    Classification Name: Ultrasonic Diathermy DeviceUltrasonic Diathermy DeviceIdentical
    Service Type: Physical MedicinePhysical MedicineIdentical
    Classification: 21 CFR 890.530021 CFR 890.5300Identical
    Class: IIIIIdentical
    Indications: Relief of pain, muscle spasms, joint contractures, increase in circulationThe same, with removal of "healthcare practitioner requirement" for home useSimilar (change in use environment)
    Manufacturer: ZetrOZZetrOZIdentical
    Console/Generator Dimensions (L x W x H cm): 6.10 cm L x 7.09 cm H x 1.88cm W6.10 cm L x 7.09 cm H x 1.88cm WIdentical
    Treatment Head Dimensions (L x W x H cm): 3.81 cm L x 3.30 cm W x 1.14 cm H3.81 cm L x 3.30 cm W x 1.14 cm HIdentical
    Console/Generator Weight (kg): 0.01 kg0.01 kgIdentical
    Treatment Head Weight (kg): 0.10 kg0.10 kgIdentical
    Power Supply: 120/240 VAC with 5V DC Input Power Jack and Lithium Battery Powered120/240 VAC with 5V DC Input Power Jack and Lithium Battery PoweredIdentical
    Leakage Current: 0.3 mA0.3 mAIdentical
    Crystal Material: Lead Zirconate-TitanateLead Zirconate-TitanateIdentical
    Technology of ultrasound generation: PiezoelectricPiezoelectricIdentical
    Treatment Mode(s): Two discrete settings of power at same FrequencyTwo discrete settings of power at same FrequencyIdentical
    Beam Type: DivergentDivergentIdentical
    Transducer Diameter (cm): 5 cm5 cmIdentical
    Acoustic Working Frequency and Accuracy (MHz): 3MHz ± 20%3MHz ± 20%Identical
    Effective Radiating Area and Accuracy (cm2): One: 6 cm2, Two: 12 cm2 ± 20%One: 6 cm2, Two: 12 cm2 ± 20%Identical
    Beam Nonuniformity Ratio and Accuracy: BNR:
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