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510(k) Data Aggregation

    K Number
    K974048
    Manufacturer
    Date Cleared
    1997-12-23

    (60 days)

    Product Code
    Regulation Number
    876.5320
    Reference & Predicate Devices
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The biofeedback components of the InCare Pelvic Floor Therapy System with Desktop Computer are intended to provide electromyographic or pressure biofeedback from pelvic musculature for the purpose of rehabilitation of weak pelvic floor muscles and restoration of neuromuscular control for the treatment of urinary incontinence.

    The electrical stimulation component of the InCare Pelvic Floor Therapy System with Desktop Computer provides stimulation capabilities for the purpose of rehabilitation of weak pelvic floor muscles for the treatment of urinary incontinence.

    Device Description

    The InCare Pelvic Floor Therapy System with Desktop Computer is an office based instrument that is intended to be used by physicians, nurses, nurse clinicians, and physiotherapists in a physicians office, clinic, or hospital for the purpose of providing electromyographic or pressure biofeedback from pelvic musculature for the purpose of rehabilitation of weak pelvic floor muscles and restoration of neuromuscular control for the treatment of urinary incontinence. The InCare Pelvic Floor Therapy System also provides electrical stimulation capabilities for the purpose of rehabilitation of weak pelvic floor muscles for the treatment of urinary incontinence.

    The premarket notification is being submitted to the Agency to include the electrical stimulation parameter of 200 Hz to the existing InCare Pelvic Floor Therapy System with Desktop Computer, K961872.

    AI/ML Overview

    The provided text is a 510(k) premarket notification for the InCare Pelvic Floor Therapy System with Desktop Computer. It focuses on demonstrating substantial equivalence to a predicate device (Hollister PRS9300 Pelvic Floor Therapy System, K961872), primarily due to the addition of a 200 Hz electrical stimulation parameter.

    This type of submission does not typically include detailed acceptance criteria in the sense of performance metrics (like sensitivity, specificity, accuracy) derived from a clinical study, nor does it present the results of such a study with sample sizes, ground truth establishment, or expert adjudication. Instead, the acceptance criteria are met by demonstrating that the new device's technological characteristics are substantially equivalent to a legally marketed predicate device, and that this new parameter does not raise new questions of safety or effectiveness.

    Therefore, many of the requested fields cannot be directly extracted from this document as the safety and effectiveness summary relies on substantial equivalence to a predicate device rather than a new clinical performance study with specific acceptance criteria that would be typical for a novel device or a device with new indications.

    However, I can extract information related to the device characteristics that are presented to support the claim of substantial equivalence.

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

    Since this is a substantial equivalence claim, the "acceptance criteria" are implicitly that the proposed device's characteristics must be comparable to the predicate device, or any differences must not raise new questions of safety or effectiveness. The "reported device performance" is essentially the detailed specifications of the proposed device, shown in comparison to the predicate device.

    CharacteristicAcceptance Criteria (Predicate Device K961872)Reported Device Performance (Proposed Device)
    Stimulation Characteristics
    Intended UseTreatment of Urinary IncontinenceTreatment of Urinary Incontinence
    Computer TypeDesktop ComputerDesktop Computer
    Output (nominal)0-30 VDC0-30 VDC
    WaveformSquare, Symmetrical, Balanced, BiphasicSquare, Symmetrical, Balanced, Biphasic
    Charge/pulse at 500Ω60 µC/phase; net charge/pulse = 060 µC/phase; net charge/pulse = 0
    Frequency12.5, 20, 50, 100 Hz12.5, 20, 50, 100, 200 Hz (This is the difference)
    Peak Pulse Intensity30 VDC30 VDC
    Pulse width0.3, 1 ms0.3, 1 ms
    Ramps20%, 40%, 60%, 80%, 100% of “ON” time (no down ramping)20%, 40%, 60%, 80%, 100% of “ON” time (no down ramping)
    Duty CycleOn (sec): 1-80 in 1 sec increments; Off (sec): 0 - 80 in 1 sec incrementsOn (sec): 1-80 in 1 sec increments; Off (sec): 0 - 80 in 1 sec increments
    Session Duration (min)0-30, 1 minute increments0-30, 1 minute increments
    Programmable FeaturesBy physician: Pulse width, Frequency, Duty cycle, Session length (none by patient)By physician: Pulse width, Frequency, Duty cycle, Session length (none by patient)
    Current Density (Probe 9595)0.003 amperes/cm²0.003 amperes/cm²
    Current Density (Probe 9596)0.018 amperes/cm²0.018 amperes/cm²
    Power Density (Probe 9595)0.047 watts/cm²0.047 watts/cm²
    Power Density (Probe 9596)0.239 watts/cm²0.239 watts/cm²
    EMIMeets IEC 601-1, IEC 601-1-1, IEC 601-2-10 (except Para 36), EN 60601-1-2/IEC 601-1-2, EN 55011/CISPR 11, EN60801-2/IEC 801-2, IEC 801-3, IEC 801-4, IEC 801-5Meets IEC 601-1, IEC 601-1-1, IEC 601-2-10 (except Para 36), EN 60601-1-2/IEC 601-1-2, EN 55011/CISPR 11, EN60801-2/IEC 801-2, IEC 801-3, IEC 801-4, IEC 801-5
    Biofeedback Characteristics
    Intended UseTreatment of Urinary IncontinenceTreatment of Urinary Incontinence
    Measurement ChannelsAdjustable, 2 channels EMG, 2 channels pressure, or combinationAdjustable, 2 channels EMG, 2 channels pressure, or combination
    EMG Sensitivity (microvolts)0-5, 0-10, 0-25, 0-50, 0-100, 0-250, 0-5000-5, 0-10, 0-25, 0-50, 0-100, 0-250, 0-500
    EMG Bandwidth100-500 Hz100-500 Hz
    EMG Signal ProcessingRoot Mean Squared (RMS)Root Mean Squared (RMS)
    EMG DetectionBipolarBipolar
    Pressure Sensitivity (cm-H2O)0-10, 0-25, 0-50, 0-1000-10, 0-25, 0-50, 0-100
    Work Period (sec)1-80 in 1 second increments1-80 in 1 second increments
    Rest Period (sec)0-80 in 1 second increments0-80 in 1 second increments
    Session Duration (min)1-60 in 1 minute increments1-60 in 1 minute increments

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    Not applicable. This is a substantial equivalence submission based on device specifications comparison, not a clinical study with a test set of data.

    3. 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. No ground truth was established by experts for a test set in this submission.

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

    Not applicable. No test set adjudication method described as no clinical performance study was conducted.

    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, and no MRMC study was conducted or described.

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

    Not applicable. This is a medical device for treatment/biofeedback, not an algorithm being evaluated for standalone performance.

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

    Not applicable. As noted, this submission is driven by substantial equivalence to a predicate device based on technical specifications rather than a clinical study requiring ground truth derived from expert consensus, pathology, or outcomes data. The "ground truth" for this application is the established safety and effectiveness of the predicate device and the demonstration that the new device remains within those bounds.

    8. The sample size for the training set

    Not applicable. This submission doesn't involve machine learning or a training set.

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

    Not applicable. This submission doesn't involve machine learning or a training set.

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