PHYSICAL MONITORING REGISTRATION UNIT

K022719 · Maryrose Cusimano, Ph.D./Phil Reaston · IKN · Nov 13, 2002 · Physical Medicine

Device Facts

• Record ID: K022719
• Device Name: PHYSICAL MONITORING REGISTRATION UNIT
• Applicant: Maryrose Cusimano, Ph.D./Phil Reaston
• Product Code: IKN · Physical Medicine
• Decision Date: Nov 13, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.1375
• Device Class: Class 2

Intended Use

To provide non-invasive muscle testing integrating with range of motion, functional capacity of lifting, pulling, pushing, pinching and gripping. To pinpoint muscle activity during movement objectively isolating abnormal movements with abnormal muscle patterns. To establish relative functioning of muscle in any specific anomaly that may occur due to muscle damage, muscle fatigue, hypertonicity or stress. To pinpoint referred pain pattern associated with cervical, thoracic, lumbosacral upper and lower extremities. and refer pain sources. To evaluate a baseline muscle activity for pre-employment screening, sport medicine. To look at chronic vs. acute muscle function and range of motion to ascertain good effort with FCE, range of motion, and gripping, and pinch. To ascertain the ischemic activity of muscles. To ascertain chronic damage to muscles. To monitor the frequency range for cardiac muscle.

Device Story

The Physical Monitoring Registration Unit (PMRU) is a diagnostic system utilizing up to 48 channels to monitor muscle activity. It captures surface EMG signals from any muscle group, including cardiac muscle, and integrates data from functional capacity sensors, range of motion sensors, and J-Mar grip/pinch strength devices. The system features lead status circuitry to ensure correct electrode placement. Operated by clinicians, the device provides objective data on muscle patterns, referred pain, and functional capacity. Outputs are used by healthcare providers to assess muscle anomalies, differentiate chronic versus acute conditions, evaluate pre-employment fitness, and monitor sports medicine performance. By isolating abnormal movements and quantifying muscle function, the device assists in clinical decision-making regarding muscle damage and rehabilitation progress.

Clinical Evidence

No clinical data provided. The submission relies on substantial equivalence to legally marketed predicate devices.

Technological Characteristics

The PMRU is a multi-channel (up to 48) surface EMG diagnostic system. It incorporates lead status circuitry for electrode placement verification. It integrates external functional capacity sensors, range of motion sensors, and grip/pinch strength measurement devices. The system is designed for diagnostic electromyography (Product Code: IKN).

Indications for Use

Indicated for patients requiring non-invasive muscle testing, including surface electromyography (EMG) combined with range of motion, functional capacity assessment, and grip/pinch strength measurement to evaluate muscle function, damage, fatigue, hypertonicity, stress, or ischemic activity.

Regulatory Classification

Identification

A diagnostic electromyograph is a device intended for medical purposes, such as to monitor and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor and display the electrical activity produced by nerves, for the diagnosis and prognosis of neuromuscular disease.

Predicate Devices

• Combined Physiological Monitoring System (K002104)
• Integrated Movement Analyzer (K944787)
• Davicon Medic System (K914920)
• Nuerocom EMG (K901732)
• Nicolet Viking 2 (K8904950)

Submission Summary (Full Text)

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NOV 1 3 2002

### Section E- 510(k) Summary

Submitted by: Phil Reaston and MaryRose Cusimano PhD. 5367 NW 90th Ave Sunrise, Fl 33319 Telephone- 561-654-4814

Date Prepared: July 26, 2002 Contact: Dr. Cusimano Product Trade Name: Physical Monitoring Registration Unit Classification Name: PRMU, Surface EMG range of motion system Electromyography Diagnostic (890.1375)

List of Predicate Devices to which we claim substantial equivalence:

- 1. Combined Physiological Monitoring System (K002104)
- 2. Integrated Movement Analyzer (K944787)
- 3. Davicon Medic System (K914920)
- 4. Nuerocom EMG (K901732)
- 5. Nicolet Viking 2 (K8904950

### Description of Physical Monitoring Registration Unit, Device

The Physical Monitoring Registration Unit, (PMRU) combines up to 48 channels allowing for a minimum of 18 channels of refined surface EMG to monitor any muscle group in the body. This is also beneficial in monitoring the cardiac muscle. This system also features lead status circuitry to integrate correct placement of all EMG electrodes. The additional channels monitor functional capacity sensors range of motion, the J-Mar grip and pinch strength measurement devices.

### Intended Use of Physical Monitoring Registration Unit Device

To provide non-invasive muscle testing integrating with range of motion, functional capacity of lifting, pulling, pushing, pinching and gripping. To pinpoint muscle activity during movement objectively isolating abnormal movements with abnormal muscle patterns. To establish relative functioning of muscle in any specific anomaly that may occur due to muscle damage, muscle fatigue, hypertonicity or stress. To pinpoint referred pain pattern associated with cervical, thoracic, lumbosacral upper and lower extremities. and refer pain sources. To evaluate a baseline muscle activity for pre-employment screening, sport medicine. To look at chronic vs. acute muscle function and range of motion to ascertain good effort with FCE, range of motion, and gripping, and pinch. To ascertain the ischemic activity of muscles. To ascertain chronic damage to muscles. To monitor the frequency range for cardiac muscle.

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, represented by curved lines.

NOV 1 3 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MaryRose Cusimano, Ph.D 5367 NW 90th Avenue Sunrise, Florida 33319

Re: K022719

Trade/Device Name: Physical Monitoring Registration Unit Regulation Number: 890.1375 Regulation Name: Diagnostic Electromyograph Regulation Class: II Product Code: IKN Dated: July 26, 2002 Received: August 15, 2002

Dear Dr. Cusimano:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration. listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations. Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2 - MaryRose Cusimano, Ph.D.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

> Sincerely yours, miriam C Provist

Las Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Section D- Indications for Use

Surface electromyography with range of motion, functional capacity assessment grip and pinch strength,

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: 上海

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Musiaime C Provost

(Division Sign-Off) (Division Sign of General, Restorative Division of Social Devices

510(k) Number . _ K O 22 219 _________________________________________________________________________________________________________________________________________________