X2ABS DUAL CHANNEL FITNESS BELT

K102295 · Leto Enterprises Incorporation · NGX · Feb 18, 2011 · Physical Medicine

Device Facts

• Record ID: K102295
• Device Name: X2ABS DUAL CHANNEL FITNESS BELT
• Applicant: Leto Enterprises Incorporation
• Product Code: NGX · Physical Medicine
• Decision Date: Feb 18, 2011
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.5850
• Device Class: Class 2

Intended Use

The X2ABS Dual Channel Fitness Belt is intended for use by healthy persons to apply trans-coetaneous electrical muscle stimulation (EMS) through skin contact electrodes for the following purposes: Improvement of muscle tone of the muscles in the abdomen.

Device Story

Battery-operated, two-channel muscle stimulation system; designed for abdominal muscle exercise. Comprised of electronic stimulator module, fixation belt, and four integrated skin-contact electrodes. User-controlled via buttons to adjust intensity levels. Delivers electrical current to targeted abdominal muscles to induce contraction. Used by healthy individuals for fitness/muscle conditioning. Output provides muscle stimulation; intended to improve tone and strength. No clinical therapy or disease treatment applications.

Clinical Evidence

Bench testing only. Compliance verified with IEC 60601-1 (electrical safety), IEC 60601-2-10 (particular requirements for nerve and muscle stimulators), IEC 60601-1-2 (electromagnetic compatibility), and IEC 60601-1-4 (software). Waveform testing performed to verify stimulation parameters.

Technological Characteristics

Powered muscle stimulator; two-channel battery-operated system. Includes electronic stimulator module, fixation belt, and four integrated electrodes. Electrical safety per IEC 60601-1 and IEC 60601-2-10. Electromagnetic compatibility per IEC 60601-1-2. Software safety per IEC 60601-1-4.

Indications for Use

Indicated for healthy persons for improvement of muscle tone, strengthening, and development of firmer abdominal muscles. Contraindicated for use on injured or impaired muscles. Not for therapy or treatment of medical conditions/diseases.

Regulatory Classification

Identification

A powered muscle stimulator is an electrically powered device intended for medical purposes that repeatedly contracts muscles by passing electrical currents through electrodes contacting the affected body area.

Predicate Devices

• Body Control (K081026)

Submission Summary (Full Text)

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Chapter 6 - 510(k) Summary

# 510(k) Summary

FEB 18 2011

This summary of 510(K) safety and effectiveness information is being submitted in accordance with the requirement of 21 CFR 807.92.

# 1. Submitter's Information

510(k) Owner's Name: Leto Enterprises Incorporation Address: 19/F, Nan Dao Commercial Bldg, 359-361 Queen's Road Central, Hong Kong, China Phone: [phone] Fax: [phone] Contact Person: Patrick Braun Email: [e-mail]

#### ア Contact Person of the Submission:

Ms. Sabrina Wei MEDLAB (Shenzhen) Information Service Co., LTD Room 2706, Block A, ZhongFang JinYuan Buiding, Xinwen Road Shenzhen, Guangdong, P.R. China, 518034 TEL: [phone] FAX: [phone] Email: [e-mail]

#### 2. Device Information

| Trade Name: | X2ABS Dual Channel Fitness Belt |
|----------------------|------------------------------------------------------|
| Common Name: | Powered muscle stimulator |
| Classification name: | Stimulator, Muscle, Powered, For muscle conditioning |
| Review Panel: | Physical Medicine |
| Product Code: | NGX |

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Chapter 6 - 510(k) Summary

Regulation Class: ll Regulation Number: 890.5850

## 3. Predicate Device Information

| Submitter: | SPORT-ELEC S.A. |
|----------------|-----------------|
| Device Name: | Body Control |
| 510(K) Number: | K081026 |

#### 4. Device description

X2ABS Dual Channel Fitness Belt is a two channel battery operated muscle stimulation system specifically designed to exercise the abdominal muscles. It is comprised of an electronic stimulator module for signal generation, a belt for fixation, and four electrodes for signal connection to skin. The built-in electrodes are located on the inner surface of the belts.

Power is derived from 2 batteries located in a compartment protected by a removable battery cover for the Fitness Belt. There is no current passed from side to side. The user cannot access the wiring or connectors within the belt. The stimulator sends gentle electrical current to targeted muscle group through the electrodes placed on the skin. The parameters of the unit are controlled by the buttons. Its intensity level can be adjustable by user.

#### 5. Intended Use

The X2ABS Dual Channel Fitness Belt is intended for use by healthy persons to apply trans-coetaneous electrical muscle stimulation (EMS) through skin contact electrodes for the following purposes:

- Improvement of muscle tone of the muscles in the abdomen.

#### 6. Indications for Use

The X2ABS Dual Channel Fitness Belt is indicated for the improvement of muscle tone, for strengthening of muscles and for the development of firmer muscles. It is indicated for use on the abdominal muscles.

Chapter 6, Page 2 / 3

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Contraindicated use on injured or otherwise impaired muscles.

Not intended for use in any therapy or for the treatment of any medical conditions or diseases.

### 7. Performance Summary

Testing has been carried out to assure compliance with recognized electrical safety standards:

- IEC 60601-1 and -2-10 standards for electrical safety

- IEC 60601-1-2 standard for electromagnetic compatibility

- IEC 60601-1-4 standard for the software

Performance data has been verified according to the requirements of the FDA Guidance for Pre Market Submissions and for Software Contained in Medical Devices.

The waveform test report has also been provided to verify the parameters of the device.

## 8. Comparison to predicate device and conclusion

The technological characteristics, features, specifications, materials, mode of operation, and intended use of X2ABS Dual Channel Fitness Belt is substantially equivalent to the predicate device quoted above.

The differences that exist between the subject device and predicate device do not raise new issues of safety or effectiveness.

The X2ABS Dual Channel Fitness Belt is the same as the Body Control device in its delivery of the stimulation signal and has similar parameter settings. There are similar restrictions between the two devices in the electrode positioning is governed by and is integrated into the garment.

9. Date of the summary prepared: July 20, 2010

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Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo features a stylized eagle with three lines representing its wings and body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring. MD 20993-0002

Leto Enterprises Incorporation % Ms. Sabrina Wei Manager Medlab Information Service Co. LTD. 19/F, Nan Dao Commercial Building, Queens Road Hong Kong, China 999077

Re: K102295

Trade Name: X2ABS Dual Channel Fitness Belt Regulation Number: 21 CFR 890.5850 Regulation Name: Powered muscle stimulator Regulatory Class: Class II Product Code: NGX Dated: January 6, 2011 Received: January 6. 2011

FEB 18 201

Dear Ms. Wei:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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); medical device reporting (reporting of medical

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Page 2 - Ms. Sabrina Wei

device-related adverse events) (21 CFR 803): 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act 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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

erely yours,

k N. Melkerson

Mark N. Melkerson Director Division of Surgical, Orthopedic, and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

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# Indications for Use

510(k) Number (if known): K102295

Device Name: X2ABS Dual Channel Fitness Belt

Indications for Use:

The X2ABS Dual Channel Fitness Belt is indicated for the improvement of muscle tone, for strengthening of muscles and for the development of firmer muscles. It is indicated for use on the abdominal muscles.

Contraindicated use on injured or otherwise impaired muscles.

Not intended for use in any therapy or for the treatment of any medical conditions or diseases.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ ×

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

Chapter 5, Page 1 / 1

510(k) Number K102295