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510(k) Data Aggregation

    K Number
    K113017
    Device Name
    SYS*STIM 240
    Date Cleared
    2012-06-26

    (259 days)

    Product Code
    Regulation Number
    890.5850
    Reference & Predicate Devices
    Predicate For
    Why did this record match?
    Reference Devices :

    K984142, K964028, K984114, K013192

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    1. Indications for Medium Frequency (Russian), Biphasic, High Volt Pulsed Current (HVPC), Interferential (4P) and Premodulated (2P) waveforms
    • Relaxation of muscle spasms
    • Prevention or retardation of disuse atrophy
    • Increase local blood circulation
    • Muscle re-education
    • Maintaining or increasing range of motion
    • Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis
    1. Additional indications for Microcurrent, Interferential (4P), Premodulated (2P), Biphasic and TENS waveforms
    • Symptomatic relief and management of chronic, intractable pain
    • Post-traumatic acute pain
    • Post-surgical acute pain
    1. Indications for DC (Direct Current) Mode
    • Relaxation of muscle spasm
    1. The laser and cluster applicators of the Sys*Stim 240 emit infrared energy for:
    • Temporary increase in local blood circulation
    • Temporary relief of minor muscle and joint aches, pains and stiffness
    • Relaxation of muscles
    • Temporary relief of muscle spasms
    • Temporary relief of minor pain and stiffness associated with arthritis
    Device Description

    The new Sys*Stim® 240 neuromuscular stimulator features nine discrete waveforms designed to facilitate clinical versatility. Waveforms may be combined with on-off programs for neuromuscular education as well as frequency and amplitude modulation programs for optimal pain management.

    New touch-sensitive technology has been used to make starting a treatment easy. The high-resolution color display allows clinicians to monitor all treatment parameters continuously. The patented M Wheel™ provides easy navigation through all of the menus.

    Clinicians can add full-featured light therapy capabilities to the SysStim 240 by purchasing either the cluster or laser applicator package. The laser applicator has an 80 mW, 785 nm, laser diode and the cluster emits 500 mW at 600 and 950 nm. Applicator holders are provided with each applicator and can be attached to the sides of the SysStim 240.

    Treatment protocols complete with electrode placement quidance allow clinicians to quickly program treatment parameters for their patients. There is even space to save special treatment protocols for each waveform and for light therapy.

    The Sys*Stim 240 has an optional battery pack so that clinicians can take either electrical stimulation or light therapy to their patients. A carrying case is also available which holds the units and all the accessories necessary for therapy on the road.

    AI/ML Overview

    The Mettler Sys*Stim 240 is a neuromuscular stimulator and low-level light therapy device. The provided text describes its features, intended uses, and lists performance testing certifications but does not contain information about a study proving specific performance acceptance criteria for diagnostic or clinical efficacy aspects that would typically require a test set, ground truth, or expert evaluation.

    Instead, the acceptance criteria and supporting "study" are focused on compliance with established electrical safety, electromagnetic compatibility (EMC), and laser safety standards, as well as showing substantial equivalence to a predicate device based on technical specifications and functional capabilities.

    Here's a breakdown of the information requested, based on the provided text:

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

    The acceptance criteria are primarily compliance with various electrical safety and performance standards. The "reported device performance" is the certification of compliance.

    Acceptance Criteria (Standard Compliance)Reported Device Performance (Certification)
    ITS certification for ETL and C-ETL ListingCertified
    Compliance with EMC, EN 60601-1-2: 2001 and FCC's 47 CFR, FCC Sub Part 18Certified
    Compliance to IEC 60601-2-22: 2007Certified
    Compliance to IEC 60825-1: 2007Certified
    Compliance to IEC 62471: 2006Certified
    Compliance to EN60601-2-10, (IEC 601-2-10) 2001Certified
    ISO 14971 : 2000 (Risk Management)Yes (Claimed for comparison with predicate)
    UL 60601-1 (Medical Electrical Equipment)Yes (Claimed for comparison with predicate)
    CSA C22.2 NO 601.1-M90 (Medical Electrical Equipment)Yes (Claimed for comparison with predicate)
    IEC/EN 60601-1 (Medical Electrical Equipment)Yes (Claimed for comparison with predicate)
    IEC/EN 60601-1-2 (EMC)Yes (Claimed for comparison with predicate)
    IEC/EN 60601-2-10 (Nerve and muscle stimulators)Yes (Claimed for comparison with predicate)
    MDD 93/42/EEC, Annex II (Medical Device Directive)Yes (Claimed for comparison with predicate)
    Compliance with 21 CFR 898 (Performance Standards for Diagnostic X-Ray Systems)Yes (Claimed for comparison with predicate)
    Patient Leakage Current (Normal Condition) < 100 μA78 μA
    Patient Leakage Current (Single Fault Condition) < 500 μA78 μA
    Automatic Over Current Trip functionalityYes (Stops output)
    Automatic No Load Trip functionalityYes (Requires fix and restart for safety)

    2. Sample size used for the test set and the data provenance

    Not applicable. The "test" in this context refers to engineering and compliance testing of the physical device and its electrical outputs against standards, not a clinical study on a patient population. There is no test set of patient data described.

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

    Not applicable. Ground truth for clinical assessment is not relevant to the compliance testing described. Certifications are typically issued by accredited testing bodies (e.g., ITS, ETL).

    4. Adjudication method for the test set

    Not applicable. This concept is for clinical studies, not product safety and performance standard compliance testing.

    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 device is an electrical stimulator and light therapy device, not an AI-powered diagnostic tool. No MRMC study was conducted or mentioned.

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

    Not applicable. There is no algorithm for diagnostic performance described. The "standalone performance" would be the device's adherence to its electrical output specifications and safety standards, which are evaluated through engineering tests.

    7. The type of ground truth used

    For the engineering and safety compliance tests, the "ground truth" would be the defined parameters and limits specified by the electrical, EMC, and laser safety standards (e.g., IEC 60601-1, IEC 60825-1, FCC regulations).

    8. The sample size for the training set

    Not applicable. This is not a machine learning or AI device.

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

    Not applicable.

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