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510(k) Data Aggregation

    K Number
    K183692
    Device Name
    Avid IF2
    Date Cleared
    2019-06-12

    (163 days)

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

    The Avid IF2 Interferential Stimulator, Model AV-IF19A is indicated for use in the following applications:

    • -Symptomatic relief of post-surgical and/or post traumatic acute pain
    • -Symptomatic relief of chronic intractable pain
      -Relaxation of muscle spasms
      -Maintaining and increasing range of motion
      -Increases local blood circulation
    Device Description

    The Avid IF2, Model AV-IF19A is an Interferential Stimulator that produces a low electrical current that is transmitted via lead wires to electrodes placed on the skin in the area predetermined by a clinician. Operating parameters can be adjusted throughout their range by a trained clinician but the end-user is limited to protocol selection and amplitude. The user interface consists of an LCD display and a keypad.

    AI/ML Overview

    The provided document is a 510(k) Premarket Notification for the Avid IF2 Interferential Stimulator, Model AV-IF19A. This document primarily focuses on demonstrating substantial equivalence to predicate devices, rather than presenting a performance study against specific acceptance criteria for a new clinical claim or an AI algorithm.

    Therefore, the requested information regarding acceptance criteria, study design for proving device performance (including sample size, expert involvement, adjudication methods, MRMC studies, standalone performance), and ground truth establishment cannot be extracted from this document.

    This document describes a device based on well-established technology (transcutaneous electrical nerve stimulation for pain relief) and demonstrates its similarity to previously cleared devices. It relies on device specification comparison and waveform analysis to prove substantial equivalence, not clinical performance data derived from patient studies or AI algorithm validation.

    However, I can extract the information that is present, which primarily revolves around the comparative specifications used to demonstrate "equivalency" rather than "acceptance criteria" for a novel performance claim.

    Here's an attempt to frame the available information in the context of your request, highlighting what is present and what is missing:


    Acceptance Criteria and Device Performance (Based on Substantial Equivalence to Predicates)

    The "acceptance criteria" in this context are not typically quantitative metrics for clinical performance for a novel claim but rather a demonstration that the new device's technical specifications and operational characteristics are substantially equivalent to predicates. The study proving this involves comparing the new device's outputs and functionalities to those of the predicate devices.

    Table 1: "Acceptance Criteria" (Substantial Equivalence Parameters) and Reported Device Performance

    "Acceptance Criteria" (Comparison Parameter to Predicates)Predicate K030507 (T.E.A.R. Tech3)Predicate K090532 (T.E.A.R. Tech3)Avid IF2 (Model AV-IF19A)
    Device Characteristics & Output Specifications
    Primary Mode of OperationIF, HVPC, NMESIF, HVPC, NMES, PDCIF Only
    Power SourceLi-ion or 2x3 'AA' alkaline, external power supplyLi-ion or 2x3 'AA' alkaline, external power supply2 internal, non-removable, rechargeable Lithium-ion batteries or external power supply
    Patient Leakage Current (Normal Condition)<500 µA<500 µA<500 µA
    Patient Leakage Current (Single Fault Condition)<500 µA<500 µA<500 µA
    No. of Output Channels (IF Mode)222
    Synchronous/Alternating (IF Mode)SynchronousSynchronousSynchronous
    Channel Isolation Method (IF Mode)Transformer coupledTransformer coupledTransformer coupled
    Reciprocal (IF Mode)NoNoNo
    Regulated Current or Voltage (IF Mode)Regulated voltageRegulated voltageRegulated voltage
    Microprocessor ControlYesYesYes
    Embedded FirmwareYesYesYes
    Automatic Overload TripYesYesYes
    Automatic No-Load TripYes (w/override option)Yes (w/override option)Yes (w/override option)
    Automatic Shut OffYesYesYes
    Patient Override ControlYesYesYes
    Voltage/Current Level (IF Mode)5.75V5.75V6.0V
    Constant Voltage (IF Mode)YesYesYes
    Timer Range1 min to 24 hours or continuous1 min to 24 hours or continuous1 min to 24 hours or continuous
    Compliance with EN60601-1 (Safety)Not TestedYesYes
    Compliance with IEC60601-1-2 (EMC)Not TestedYesYes
    Compliance with 21 CFR 898 (Mandatory 05/09/02)YesYesYes
    Weight (with batteries)10.6 oz.10.6 oz.6.8 oz. (New device is lighter)
    Dimensions5.7 x 3.0 x 1.5 inches5.7 x 3.0 x 1.5 inches4.9 x 2.85 x 1.0 inches (New device is smaller)
    Housing MaterialsMolded ABS/PC plasticMolded ABS/PC plasticMolded ABS/PC plastic
    WaveformIF- Sym. BiphasicIF- Sym. BiphasicIF- Sym. Biphasic
    Max. Output Current (500 Ohm Load, IF Mode)50mA ±10%50mA ± 10%50mA ± 10%
    Max. Output Voltage (500 Ohm Load, IF Mode)25V ± 10%25V ± 10%25V ± 10%
    Shape (IF Mode)Square or rectangularSquare or rectangularSquare or rectangular
    Symmetry (IF Mode)SymmetricalSymmetricalSymmetrical
    Net Phase Charge (IF Mode)0µC0µC0µC
    Peak Phase Current (500 Ohm, IF Mode)50mA50mA50mA
    Peak Phase Voltage (500 Ohm, IF Mode)25V25V25V
    Phase Rise Time (500 Ohm, IF Mode)< 2µS< 2µS< 2µS
    Phase Decay Time (500 Ohm, IF Mode)< 2µS< 2µS< 2µS
    Phase Duration Range (at 50% max. width, IF Mode)7µS – 125µS7µS – 125µS7µS – 125µS
    Interphase Interval (IF Mode)0µS0µS0µS
    Frequency Range (IF Mode)4000 Hz - 4240 Hz4000 Hz - 4240 Hz4000 Hz - 4240 Hz
    Beat Frequencies (IF Mode)1-240 Hz1-240 Hz1-240 Hz
    Current Density - Peak (per sq. cm, 500 Ohm, IF Mode)2.47mA2.47mA2.47mA
    Current Density - Ave. (per sq. cm, 500 Ohm, IF Mode)1.235mA1.235mA1.235mA
    Power Density - Peak (per sq. cm, 500 Ohm, IF Mode)61.7mW61.7mW61.7mW
    Power Density - Ave. (per sq. cm, 500 Ohm, IF Mode)30.85mW30.85mW30.85mW
    Max. Phase Charge (500 Ohms, IF Mode)6.25µC6.25µC6.25µC
    Max. Phase Charge (2K Ohms, IF Mode)1.56 µC1.56 µC1.56 µC
    Max. Phase Charge (10K Ohms, IF Mode)0.33 µC0.33 µC0.33 µC
    Waveform Quality(Visual inspection of scope traces show "cleaner waveforms and less voltage variation over load" for Avid IF2 compared to predicates)(Visual inspection of scope traces show "cleaner waveforms and less voltage variation over load" for Avid IF2 compared to predicates)

    Since this document is a 510(k) Premarket Notification for a Transcutaneous Electrical Nerve Stimulator, it does not describe an AI/ML device or a clinical performance study with human subjects, therefore, the following requested information is not applicable and not present in the provided text:

    • Sample sized used for the test set and the data provenance: Not a clinical study.
    • Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience): Not applicable for device specification comparison.
    • Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
    • 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: Not applicable, no AI component.
    • If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable, no AI component.
    • The type of ground truth used (expert consensus, pathology, outcomes data, etc): The "ground truth" here is the established and accepted specifications of legally marketed predicate devices, and the new device's ability to meet those or be within acceptable variance. It's a technical comparison, not a clinical "ground truth" derived from patient outcomes or expert reads.
    • The sample size for the training set: Not applicable, no AI component.
    • How the ground truth for the training set was established: Not applicable, no AI component.

    Summary of the Study Proving Device Meets "Acceptance Criteria" (Substantial Equivalence):

    The "study" conducted to demonstrate that the Avid IF2 Interferential Stimulator meets its "acceptance criteria" (i.e., is substantially equivalent to predicate devices) primarily involved:

    1. Technical Specification Comparison: Detailed tables comparing key electrical output parameters (e.g., max current/voltage, waveform shape, frequency range, phase charge, current/power density) between the Avid IF2 and two previously cleared T.E.A.R. Tech3 predicate devices (K030507 and K090532).
    2. Functionality Comparison: Qualitative descriptions of shared functional aspects, such as user interface, power source, software control, and safety features.
    3. Waveform Analysis: Presentation of oscilloscope traces (waveform drawings) under various resistive loads (500 Ohm, 2000 Ohm, and 10,000 Ohm) for the Avid IF2, along with claims that these show "cleaner waveforms and less voltage variation over load" compared to the predicates, further supporting equivalence or improvement.
    4. Compliance with Standards: Demonstration of compliance with relevant electrical safety (EN60601-1), EMC (IEC60601-1-2), and FDA regulations (21 CFR 898).

    The "data provenance" is essentially the manufacturer's internal testing and characterization of their device and comparison to published specifications or their own predicate devices. It is a retrospective analysis based on the design and testing of the new device against existing predicate information.

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