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510(k) Data Aggregation

    K Number
    K211736
    Date Cleared
    2021-09-05

    (90 days)

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

    PMS (Mode 1~8)

    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

    Electronic Muscle Stimulator is a portable and adapter powered multifunctional device, offering both Transcutaneous Electronic Nerve Stimulator (TENS) and Powered Muscle Stimulator (PMS) qualities.

    Electronic Muscle 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.

    The electronic stimulatory module has the operating elements of ON/OFF Switch, Display screen, Mode Selection key and Intensity Modification keys.

    The models AST-300A and AST-300W have 9 buttons which is more than other models. Compared with other models, the "Time+" and "Time-" buttons are used to adjust the treatment time.

    The LCD display screen can show selected mode, output intensity of body and/or sole, and time remaining of an application model. The device is equipped with accessories of electrode pads, 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 are complying with the biocompatibility standards ISO 10993-5 (Cytotoxicity) and ISO 10993-10 (Irritation and Sensitization), are interchangeable.

    AI/ML Overview

    This document is a 510(k) Summary for an Electronic Muscle Stimulator, demonstrating substantial equivalence to a predicate device. It is not a report for an AI-powered medical device and therefore does not contain information typically found in such reports regarding acceptance criteria for AI performance, specific studies with test sets, expert ground truth establishment, MRMC studies, or training set details.

    Based on the provided text, here's what can be extracted, and where limitations exist:

    1. A table of acceptance criteria and the reported device performance:

    The document doesn't explicitly state "acceptance criteria" in the context of AI performance metrics (like sensitivity, specificity, AUC). Instead, it compares the subject device's specifications to those of a predicate device to demonstrate substantial equivalence. The acceptance is implicitly shown by meeting the same or similar specifications as the already cleared predicate device, and demonstrating that any differences do not raise new safety or effectiveness issues.

    Here is a table based on the "Elements of Comparison" between the Subject Device and Predicate Device, which serves as the "performance" for this type of device:

    Acceptance Criteria (e.g., Predicate Device Performance)Reported Device Performance (Subject Device)Remark
    Device Name and Model: Health Expert Electronic Stimulator Model: AST-300F, AST-300H, AST-300JElectronic Muscle Stimulator Model: AST-300A, AST-300N, AST-300S, AST-300T, AST-300V, AST-300W--
    510(k) Number: K190673Applying (K211736)--
    Intended Use (PMS): To stimulate healthy muscles to improve and facilitate muscle performance.SameSE (Substantially Equivalent)
    Intended Use (TENS): Temporary relief of pain associated with sore and aching muscles in shoulder, waist, back, neck, arm, leg, foot due to strain from exercise or normal household work activities by applying current to stimulate nerve.SameSE
    Power Source(s): Adaptor Input: 100-240Vac, 50-60Hz, 0.1A; Output: 5Vdc, 1A; Unit Input: 5Vdc, 1ASameSE
    Method of Line Current Isolation: Type BF Applied PartSameSE
    Patient Leakage Current (NC): AC: 54.5 µA, DC: 0 µAAC: 54.5 µA, DC: 0.5 µASE
    Patient Leakage Current (SFC): AC: 120.0 µA, DC: 0 µAAC: 120.0 µA, DC: 0.6 µASE
    Average DC current through electrodes (device on but no pulses): < 0.01 µASameSE
    Number of Output Channels: 2SameSE
    Number of Output Modes: 25SameSE
    Output Intensity Level: 99 stepsSameSE
    Synchronous or Alternating?: SynchronousSameSE
    Method of Channel Isolation: Voltage Transform Isolation, "Body+" and "Body-" buttons for body channel, "Sole+" and "Sole-" buttons for feet channelSameSE
    Regulated Current or Regulated Voltage?: Voltage ControlSameSE
    Software/Firmware/Microprocessor Control?: YesYesSE
    Automatic Overload Trip: NoNoSE
    Automatic No-Load Trip: NoNoSE
    Automatic Shut Off: YesYesSE
    User Override Control: YesYesSE
    Indicator Display (On/Off Status): YesYesSE
    Indicator Display (Low Battery): NoNoSE
    Indicator Display (Voltage/Current Level): YesYesSE
    Timer Range: 25 min (default)AST-300N, AST-300S, AST-300T, AST-300V: 25 min (default); AST-300A and AST-300W: can adjust the time (5-25min)SE
    Weight: 1.9Kg (Without accessories)Varies by model (e.g., AST-300A: 1.62kg, AST-300W: 1.99kg)SE Note (Differences do not raise safety/effectiveness issues)
    Dimensions: 429.1mm x 426.6mm x 153.8mmVaries by model (e.g., AST-300A: 209.7x215.3x52.3mm, AST-300W: 464.7x419.6x181mm)SE Note (Differences do not raise safety/effectiveness issues)
    Housing Materials and Construction: Main unit: ABS plasticSameSE
    Waveform: Pulsed, symmetric, biphasicSameSE
    Shape: Rectangular, with interphase intervalSameSE
    Maximum Output Voltage: 44V±10% @ 500Ω; 80V±10% @ 2KΩ; 112V±20% @ 10KΩ44V±10% @ 500Ω; 80V±10% @ 2KΩ; 112V±10% @ 10KΩSE (Note: Subject device's 10KΩ tolerance is ±10% vs predicate's ±20%, meaning it's tighter, which is acceptable)
    Maximum Output Current: 88mA±10% @ 500Ω; 40mA±10% @ 2KΩ; 11.2mA±10% @ 10KΩSameSE
    Pulse width: 120µsSameSE
    Pulse frequency: 77.3HzSameSE
    Net Charge (per pulse): 0µC @ 500Ω; Method: Balanced waveformSameSE
    Maximum Phase Charge: 10.56μC @ 500ΩSameSE
    Maximum Average Current: 1.63mA @ 500ΩSameSE
    Maximum Current Density (r.m.s): 0.0326mA/cm² @ 500ΩSameSE
    Maximum Average Power Density: 0.0000266mW/cm² @ 500ΩSameSE
    ON Time: 0.6sSameSE
    OFF Time: 0.6sSameSE
    Environment for operating: Temperature: 5 ~ 45° C; Humidity: 20 ~ 65% RHSameSE
    Environment for storage: Temperature: 0 ~ 45°C, Humidity: 10 ~ 90% RH; Electrode Pad: 10~20°CSameSE
    Biocompatibility: All user directly contacting materials are compliance with ISO10993-5 and ISO10993-10 requirements.SameSE
    Electrical Safety: Comply with IEC 60601-1 and IEC 60601-2-10SameSE
    EMC: Comply with IEC 60601-1-2SameSE

    2. Sample sizes used for the test set and the data provenance:

    • Sample Size: Not applicable. This submission relies on substantial equivalence to an existing device, not a new clinical study.
    • Data Provenance: Not applicable for a typical "test set" as understood for AI performance. The provenances relate to the standards adherence (e.g., IEC, ISO standards for electrical safety, EMC, biocompatibility) through lab bench testing. The country of origin of the device manufacturer is China.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not applicable. This device is an Electronic Muscle Stimulator, not a device that processes complex data (like medical images) requiring expert interpretation for ground truth.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • Not applicable. No test set requiring adjudication of findings is described.

    5. 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. This is not an AI-assisted device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    • Not applicable. This is not an AI algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • For this type of device, "ground truth" is established by adherence to recognized performance and safety standards (e.g., IEC 60601 series for electrical safety, ISO 10993 series for biocompatibility). The testing mentioned (Electrical safety, EMC, Biocompatibility, Usability, Software V&V) are based on these established engineering and safety requirements.

    8. The sample size for the training set:

    • Not applicable. This device does not use an AI model that requires a training set.

    9. How the ground truth for the training set was established:

    • Not applicable.
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