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510(k) Data Aggregation

    K Number
    K211513
    Date Cleared
    2021-08-18

    (96 days)

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

    sam X1 Long Duration Ultrasound Device

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

    The sam X I 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 X1 Long Duration Ultrasound Device consists of:

    • Rechargeable Power Controller and Timer
    • Ultrasound Generating Applicators
    • Single use disposable accessories
    • Ultrasonic Coupling Patch
      The Power Controller can be used to power the Applicator 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 X1 Long Duration Ultrasound Device contains firmware that controls the timing display and inputs from the power button to activate/deactivate the device. There is no control function of this firmware.
      The system is intended for prescription home use to apply ultrasonic energy for a long duration (1 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

    This document is a 510(k) Premarket Notification from ZetrOZ Systems, LLC for their sam X1 Long Duration Ultrasound Device. It seeks to demonstrate substantial equivalence to a predicate device (sam 2.0 Long Duration Ultrasound System, K191568).

    The document does not describe an AI/ML-based device or a study involving human readers and AI assistance for diagnostic purposes. Instead, it details a physical medical device (an ultrasonic diathermy device) used for therapeutic purposes (deep heat generation for pain relief, muscle spasms, joint contractures, and circulation increase).

    Therefore, I cannot provide the information requested in the prompt, as the prompt's questions pertain to acceptance criteria and studies for AI/ML diagnostic devices, such as those that might involve:

    1. A table of acceptance criteria and reported device performance (for AI metrics like sensitivity, specificity, AUC).
    2. Sample sizes and data provenance for test sets (relevant to AI model validation).
    3. Number and qualifications of experts for ground truth establishment (critical for AI imaging diagnostics).
    4. Adjudication methods for test sets (common in AI imaging studies).
    5. MRMC comparative effectiveness studies (specifically for AI assistance to human readers).
    6. Standalone algorithm performance.
    7. Types of ground truth (e.g., pathology, outcomes data - often used in AI validation).
    8. Training set sample size and ground truth establishment (fundamental to AI development).

    The provided text focuses on the physical and functional equivalence of the sam X1 device to its predecessor, particularly noting a smaller battery and a maximum 1-hour treatment duration compared to the predicate's 4 hours. The testing mentioned (power output, treatment time, battery conformance, electrical safety, usability, software, cybersecurity) are standard for medical device hardware and firmware safety and performance, not for AI model validation.

    In summary, as the provided document is for a non-AI medical device, the requested information regarding AI acceptance criteria and study design is not applicable and cannot be extracted from the text.

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