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510(k) Data Aggregation

    K Number
    K191951
    Manufacturer
    Date Cleared
    2021-04-27

    (645 days)

    Product Code
    Regulation Number
    882.5890
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K162392

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

    The Avazzia OTC TENS for aesthetics, model BEST-AV1™: EZZI-LIFT™ Device is indicated for over-the-counter aesthetic use including facial and neck stimulation or body skin stimulation.

    Device Description

    Candidate device is a handheld, AA battery-operated portable device for use in the home or clinic. It has pre-set modes and is for over-the-counter use in the home or a clinical setting. The candidate device uses transcutaneous electrical stimulation (TENS) for aesthetic use for facial, neck, and body stimulation. The EZZI-LIFT device has built-in electrodes. Accessories, listed below, are also available to be used with the device.

    AI/ML Overview

    The Avazzia OTC TENS for Aesthetics, model BEST-AV1: EZZI-LIFT Device did not have a clinical study that proves the device meets acceptance criteria for a specific clinical outcome. Instead, the device's substantial equivalence was established through non-clinical bench testing, performance testing, and a comparison of its technical characteristics to predicate devices.

    Here's the breakdown based on the provided text:

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

    The document does not present a formal "acceptance criteria" table with specific quantitative thresholds for clinical performance. Instead, it demonstrates substantial equivalence by comparing the technical specifications of the candidate device (EZZI-LIFT) to its predicate devices (NuFACE Trinity and NuBODY Skin Toning Device) and by confirming compliance with relevant safety standards.

    The comparison table provided in the document highlights the following characteristics:

    CharacteristicUnitsCandidate (EZZI-LIFT)Primary Predicate (NuFACE Trinity)Secondary Predicate (NuBody)
    Device NameEZZI-LIFTNuFACE TrinityNuBody
    510KK191951K181008K171588
    ManufacturerAvazzia, Inc.Carol Cole Company (dba NuFACE)Carol Cole Company (dba NuFACE)
    Indications for UseOver-the-counter aesthetic use including facial and neck stimulation or body skin stimulation.Facial and neck stimulation; over-the-counter cosmetic use.Body skin stimulation; over-the-counter cosmetic use.
    Anatomic SitesFace, neck, and bodyFace and neckBody
    Number of Output Modesnumber411
    Low Battery IndicatorYesYesYes
    Automatic shut off(minutes)60205
    Compliance with Voluntary StandardsYes/NoIEC 60601-1, IEC 60601-1-2, IEC 60601-2-10, ISO 14971, IEC 62366IEC 60601-1, IEC 60601-1-2IEC 60601-1, IEC 60601-1-2, IEC 60601-2-10, IEC 60529, ISO 14971, IEC 60601-1-6, IEC 62366
    Compliance with 21 CFR 898Yes / NoYesYesYes
    Weightounces5.4910 to 14
    Dimensions [W x H x D](in.)2.6" X 4.7" X 1.35"2.8" x 5.1" x 1.3"2" x 6.5" x 6.0"
    Housing Materials and ConstructionPCBs inside plastic case housingThermoplasticThermoplastic
    User Interface DisplayLEDs and switchesnot publicly availablenot publicly available
    Energy typeElectric stimulationElectric stimulationElectric stimulation
    Number, Size, and Type of BatteriesTwo 1.5 V AA batteriesInternal rechargeable Lithium-ion batteryInternal rechargeable Lithium-ion battery
    Stimulation Output Specifications
    Waveform Shapepositive square wave followed by a damped sinusoidal waveform of variable durationpulsed biphasic modulated square wavemonophasic voltage modulated square wave
    Max output voltage (+/- 20%) at 500 ΩV-422828
    Max output voltage (+/- 20%) at 2,000 ΩV-122not publicly availablenot publicly available
    Max output voltage (+/- 20%) at 10,000 ΩV-348not publicly availablenot publicly available
    Max output current (+/-20%) at 500 ΩμA363400900
    Max output current (+/-20%) at 2,000 ΩμA117not publicly availablenot publicly available
    Max output current (+/-20%) at 10,000 ΩμA38not publicly availablenot publicly available
    Duration of primary (depolarizing phase)mSec0.56060
    Pulse DurationmSec1.16060
    FrequencyHz15 to 1218.38.3
    Net Charge per pulse at 500 ΩμC4not publicly available54
    Max phase chargeμC10not publicly availablenot publicly available
    Max current density at 500 Ω (Built-in, Y, Brush)μΑ/cm²800419468
    Max current density at 500 Ω (Pencil)μΑ/cm²19,000
    Max average power density at 500 Ω (Built-in, Y, Brush)μW/cm²500not publicly available4,180
    Max average power density at 500 Ω (Pencil)μW/cm²3,500
    Burst mode (a) pulse per burstnumber12020
    Burst mode (b) burst per secondnumbern/a8.38.3
    Burst mode (c) burst duration(sec)n/a2.42.4
    Burst mode (d) duty cyclen/a20.2sec20.2sec
    On Time (per second)seconds0.1not publicly availablenot publicly available
    Off Time (per second)seconds0.9not publicly availablenot publicly available
    Electrodes (a) materialsStainless steel 316Chrome-platedChrome-plated
    (b) electroconductive median/aConductive gelConductive gel
    (c) electrode-to-skin impedance rangeless than 15not publicly availablenot publicly available
    (d) max duration of use (same as device shut off)(minutes)602020
    (e) conductive surface area (built in rectangular)cm21.94--
    (e) conductive surface area (spherical)cm25.60not publicly availablenot publicly available
    (e) conductive surface area (brush/comb)cm20.56not publicly availablenot publicly available
    (e) conductive surface area (small circular, pencil-like)cm20.023not publicly availablenot publicly available

    The acceptance criterion, though not explicitly stated as a pass/fail threshold, is implied to be that the device's technical characteristics, particularly regarding stimulation output and safety features, fall within the range of equivalence to predicate devices and comply with accepted safety standards (e.g., ANSI/AAMI NS4:2013/(R)2017). The document explicitly states: "The candidate devices fall within the same range of equivalence for performance and energy output for meeting the ANSI/AAMI NS4:2013/(R)2017 standard requirements for safety; and therefore, they do not raise new questions of safety."

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

    The document primarily describes non-clinical bench testing and usability studies, not traditional clinical trials with patient test sets. Therefore, terms like "sample size for the test set" (in a clinical context) and "data provenance" (country of origin, retrospective/prospective) are not directly applicable.

    • Test Set (Non-clinical): The "test set" for performance testing consisted of "a production equivalent of the candidate device." The specific number of devices tested is not mentioned.
    • Usability Study: A usability study was performed, but the number of participants or their demographics are not provided.

    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)

    This information is not applicable as the clearance was based on substantial equivalence to predicate devices and non-clinical testing, rather than a study requiring expert consensus on clinical ground truth.

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

    This information is not applicable as the clearance was based on non-clinical testing and comparison to predicate devices, which do not involve adjudication by multiple experts on a clinical test set.

    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

    There was no MRMC comparative effectiveness study done. This device is a Transcutaneous Electrical Nerve Stimulator (TENS) for aesthetic use, not an AI-assisted diagnostic or imaging device that would typically involve human readers or MRMC studies.

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

    This information is not applicable as the device is not an algorithm or AI-based system. It's a hardware device (TENS stimulator). Its "standalone performance" refers to its electrical output, safety, and functionality as evaluated in non-clinical bench tests.

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

    For this type of device and submission, the "ground truth" is primarily established by compliance with recognized electrical and medical device safety standards (e.g., IEC 60601-1, IEC 60601-1-2, IEC 60601-2-10, ISO 14971, IEC 62366, ANSI/AAMI NS4:2013/(R)2017) and the established safety and effectiveness of the legally marketed predicate devices for their intended uses. The document states that "The Avazzia device technological specifications are similar; therefore, they do not pose new questions regarding safety and effectiveness." The usability study also confirmed that the device and instructions "met requirements for usability factors for over-the-counter use."

    8. The sample size for the training set

    This information is not applicable as the device is a hardware TENS stimulator and does not involve AI/machine learning models with training sets.

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

    This information is not applicable as there is no training set for this device.

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