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510(k) Data Aggregation

    K Number
    K133929
    Date Cleared
    2014-11-12

    (324 days)

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

    PMS (Mode 18)
    It is intended to stimulate healthy muscles in order to improve and facilitate muscle performance.
    TENS (Mode 9
    25)
    To be used for temporary relief of pain associated with sore and aching muscles in the shoulder, waist, back of the neck, arm, leg, and foot due to strain from exercise or normal household work activities by applying current to stimulate nerve.

    Device Description

    Health Expert Electronic Stimulator is a portable and adapter powered multifunctional device, offering both Transcutaneous Electronic Nerve Stimulator (TENS) and Powered Muscle Stimulator (PMS) qualities.
    Health Expert Electronic Stimulator has 25 operation modes, which can give certain electrical pulse through 4 pcs of electrode pads placed on the skin to help users to enjoy body stimulation and 2 big electrode pads in Electrode Silicon Area for feet placed on the main unit to help users to enjoy sole stimulation, as well as certain non-electrical rolling massage through one massage roller.
    The electronic stimulatory module has the operating elements of ON/OFF Switch, Display screen, Mode Selection key and Intensity Modification keys.
    The LCD display screen can show selected mode, output intensity of body and/or sole, and time remaining of an application mode.
    The device is equipped with accessories of electrode wire, adapter, remote controller. The electrode wire is used to connect the pads to the main unit; the adapter wire is used to connect the adapter to the device.
    The electrode pads, which are provided by Shenzhen Context Kang Technology Company Limited complying with the biocompatibility standards ISO 10993-5 (Cytotoxicity) and ISO 10993-10 (Irritation and Sensitization), are interchangeable.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Health Expert Electronic Stimulator, Model AST-300C and AST-300D, based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document doesn't explicitly define "acceptance criteria" as a pass/fail threshold for specific metrics. Instead, it demonstrates substantial equivalence to predicate devices by showing that the subject device's performance aligns with relevant safety and performance standards (IEC 60601-1, IEC 60601-2-10, IEC 60601-1-2, ISO 10993-5, ISO 10993-10, IEC 62366) and FDA guidance documents.

    The table below summarizes the device's technical specifications and compares them to the predicate devices, highlighting where the subject device "complies" with the established standards and guidance, which effectively serves as its acceptance criteria. "SE" in the remarks column generally means "Substantially Equivalent," implying the feature meets the necessary criteria for equivalence.

    Elements of ComparisonAcceptance Criteria (Predicate / Standard Adherence)Reported Device Performance (Subject Device)
    Intended Use & Indications for UseMatches predicate devices for PMS and TENS.PMS (Mode 18): Stimulate healthy muscles for performance. TENS (Mode 925): Temporary relief of pain in various body parts due to strain.
    Power Source(s)Complies with IEC 60601-1 requirements.Adaptor Input: 100-240Vac, 50-60Hz, 0.1A; Output: 5Vdc, 1A; Unit Input: 5Vdc, 1A
    Method of Line Current IsolationType BF Applied Part.Type BF Applied Part
    Patient Leakage CurrentComplies with IEC 60601-1 requirements (predicate value: 2.0µA).NC AC: 54.5µA, DC: 0.5µA; SFC AC: 120.0µA, DC: 0.6µA
    Average current through electrodes when device is on but no pulses are being appliedComplies with IEC 60601-1 requirements (predicate value: < 0.01µA).DC < 0.01µA
    Number of Output Channels2 (matching predicate).2
    Number of Output ModesComplies with IEC 60601-1 and IEC 60601-2-10 requirements (predicate: 6 or 8).25
    Output Intensity LevelComplies with IEC 60601-1 and IEC 60601-2-10 requirements (predicate: 20 steps).99 steps
    Synchronous or Alternating?Synchronous or Alternating allowed (predicate: Synchronous or Alternating).Synchronous
    Method of Channel IsolationComplies with IEC 60601-1 and IEC 60601-2-10 requirements (predicate: Voltage Isolation, Transform By software).Voltage Transform Isolation, "BODY▼" and "BODY▼" for body, "SOLE▲" and "SOLE▼" for feet.
    Regulated Current or Regulated Voltage?Voltage Control (matching predicate).Voltage Control
    Software/Firmware/Microprocessor Control?Yes (matching predicate).Yes
    Automatic Overload TripNo (matching predicate).No
    Automatic Load TripNo (matching predicate).No
    Automatic Shut OffYes (matching predicate).Yes
    User Override ControlYes (matching predicate).Yes
    Indicator On/Off Display StatusYes (matching predicate).Yes
    Low BatteryNo (matching predicate).No
    Voltage/Current LevelYes (matching predicate).Yes
    Timer RangeComplies with IEC 60601-1 and IEC 60601-2-10 requirements (predicate: 10-60 minutes).25min
    WeightComplies with IEC 60601-1 and IEC 60601-2-10 requirements (predicate: 0.18Kg).2Kg (Without accessories)
    DimensionsComplies with IEC 60601-1 and IEC 60601-2-10 requirements (predicate: various).428mm x 428.8mm x 185mm
    Housing Materials and ConstructionABS plastic (matching predicate).Main unit: ABS plastic
    WaveformPulsed, symmetric, biphasic (or Monophasic for one predicate).Pulsed, symmetric, biphasic
    ShapeRectangular, with interphase interval (or Rectangular).Rectangular, with interphase interval
    Maximum Output VoltageComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.44V±10% @ 500Ω; 80V±10% @ 2KΩ; 112V±10% @ 10KΩ
    Maximum Output CurrentComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.88mA±10% @ 500Ω; 40mA±10% @ 2KΩ; 11.2mA±10% @ 10KΩ
    Pulse DurationComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.120µs
    Pulse FrequencyComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.77.3Hz
    Net Charge (per pulse)Complies with IEC 60601-1, IEC 60601-2-10, and FDA guidance (predicate: 0µC or 18000µC).0µC @ 500Ω; Method: Balanced waveform
    Maximum Phase ChargeComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.12.78µC @ 500Ω
    Maximum Average CurrentComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.0.968mA @ 500Ω
    Maximum Current Density (r.m.s)Complies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.0.235mA/cm² @ 500Ω
    Maximum Average Power DensityComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.1.38mW/cm² @ 500Ω
    ON TimeComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.0.6s
    OFF TimeComplies with IEC 60601-1, IEC 60601-2-10, and FDA guidance.0.6s
    Environment for operatingComplies with IEC 60601-1 requirements.Temperature: 5 ~ 45°C; Humidity: 20 ~ 65% RH
    Environment for storageComplies with IEC 60601-1 requirements.Temperature: 0 ~ 45°C, Humidity: 10 ~ 90% RH; Electrode Pad: 10~20°C
    BiocompatibilityCompliance with ISO 10993-5 and ISO 10993-10 requirements.All user directly contacting materials are compliance with ISO 10993-5 and ISO 10993-10 requirements.
    Electrical SafetyCompliance with IEC 60601-1 and IEC 60601-2-10.Comply with IEC 60601-1 and IEC 60601-2-10
    EMCCompliance with IEC 60601-1-2.Comply with IEC 60601-1-2

    2. Sample Size Used for the Test Set and Data Provenance

    The document describes lab bench testing for safety and performance. This implies the test "set" consists of the device prototypes themselves, rather than a dataset of patient information.

    • Sample Size: Not applicable in the context of a dataset. The tests were performed on the device models (AST-300C and AST-300D).
    • Data Provenance: The testing appears to have been conducted by Shenzhen OSTO Technology Company Limited, likely in China, as indicated by the company's address. The data is prospective in the sense that the tests were performed specifically for this 510(k) submission to demonstrate compliance.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications

    This section is not applicable (N/A) as the submission details engineering and electrical safety testing, not a clinical study involving subjective interpretation of patient data by experts. The "ground truth" for these tests is defined by international standards (IEC, ISO) and FDA guidance documents.

    4. Adjudication Method for the Test Set

    N/A. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies where multiple human readers interpret data (e.g., medical images) to establish a consensus "ground truth" when a definitive objective truth (like pathology) is unavailable. This document reports on objective engineering and performance tests, not subjective interpretations.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study would compare human reader performance with and without AI assistance, which is irrelevant for an electronic stimulator device that is not an AI/imaging diagnostic tool.

    6. Standalone Performance Study

    Yes, the studies conducted were essentially standalone performance studies of the device based on engineering and safety standards. The document states:

    • "Health Expert Electronic Stimulator has been evaluated the safety and performance by lab bench testing..."
    • The tests include electrical safety, electromagnetic compatibility, biocompatibility, usability, software verification and validation, and waveform tests.
      These are all tests of the device itself, without human interaction in a clinical diagnostic context as one might find with an AI-driven image analysis tool.

    7. Type of Ground Truth Used for the Test Set

    The ground truth for the device's acceptable performance is defined by:

    • International Standards: IEC 60601-1, IEC 60601-2-10, IEC 60601-1-2, ISO 10993-5, ISO 10993-10, IEC 62366.
    • FDA Guidance Documents: "Guidance for Pre Market Submissions and for Software Contained in Medical Devices," "Guidance for Transcutaneous Electrical Nerve Stimulator for Pain Relief Intended for Over the Counter Use," and "Guidance for Powered Muscle Stimulator for Muscle Conditioning."

    Performance metrics (e.g., leakage current, output voltage, pulse frequency) are compared against the limits or requirements specified in these standards and guidance documents.

    8. Sample Size for the Training Set

    N/A. This device is an electronic stimulator, not an AI or machine learning model that requires a "training set" of data. The device's functionality is based on direct electrical engineering principles and fixed programming, not learned behavior from a dataset.

    9. How the Ground Truth for the Training Set Was Established

    N/A, as there is no training set for this type of device.

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