AB COMMAND DUAL CHANNEL FITNESS BELT

K122414 · Leto Enterprises Incorporation · NGX · Dec 21, 2012 · Physical Medicine

Device Facts

• Record ID: K122414
• Device Name: AB COMMAND DUAL CHANNEL FITNESS BELT
• Applicant: Leto Enterprises Incorporation
• Product Code: NGX · Physical Medicine
• Decision Date: Dec 21, 2012
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 890.5850
• Device Class: Class 2

Intended Use

The AB COMMAND Dual Channel Fitness Belt is intended for use by healthy persons to apply trans-coetancous 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 conditioning. Comprised of electronic stimulator module, fixation belt, and four integrated skin-contact electrodes. User operates device via buttons to adjust electrical current intensity. Stimulator delivers gentle electrical pulses to targeted abdominal muscles to induce contraction. Used by healthy individuals for fitness purposes; not for clinical therapy. Benefits include improved muscle tone and firmness. Device is self-operated by the user.

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 parameters verified via bench testing.

Technological Characteristics

Powered muscle stimulator (Product Code NGX). Two-channel battery-operated system. Includes electronic stimulator module, fixation belt, and four integrated electrodes. Operates via transcutaneous electrical muscle stimulation (EMS). Complies with IEC 60601-1, IEC 60601-2-10, IEC 60601-1-2, and IEC 60601-1-4 standards.

Indications for Use

Indicated for improvement of muscle tone, strengthening, and development of firmer abdominal muscles in healthy individuals. 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

• X2ABS Dual Channel Fitness Belt (K102295)

Submission Summary (Full Text)

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# K122414

| Sponsor: | Leto Enterprises Incorporation |
|-----------------|--------------------------------------|
| Subject Device: | AB COMMAND Dual Channel Fitness Belt |
| File No.: | 510(k) submission report, Section 9 |

#### Section 9 510 (k) Summary

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: Choi Chui Ngan E-mail: [e-mail]

#### Contact Person of the Submission: A

Ms. Sabrina Wei

MEDLAB (Shenzhen) Information Service Co., LTD B102, Nanshan Medical Device Industrial Park, No. 1019 of Nanhai Avenue, Nanshan District,Shenzhen, Guangdong, P. R. China, 518000 TEL: [phone] FAX: [phone] E-mail: [e-mail]

#### 2. Device Information

| Trade Name: | AB COMMAND Dual Channel Fitness Belt |
|----------------------|------------------------------------------------------|
| Common Name: | Powered muscle stimulator |
| Classification name: | Stimulator, Muscle, Powered, For muscle conditioning |
| Review Panel: | Physical Medicine |
| Product Code: | NGX |
| Regulation Class: | II |
| Regulation Number: | 890.5850 |

#### 3. Predicate Device Information

| Submitter: | Leto Enterprises Incorporation |
|----------------|---------------------------------|
| Device Name: | X2ABS Dual Channel Fitness Belt |
| 510(K) Number: | K102295 |

Report by MEDLAB (Shenzhen) Information Service Co., Ltd.

Page 9-1

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Leto Enterprises Incorporation Sponsor: AB COMMAND Dual Channel Fitness Belt Subject Device: 510(k) submission report, Section 9 File No .:

### 4. Device description

AB COMMAND 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 AB COMMAND Dual Channel Fitness Belt is intended for use by healthy persons to apply trans-coetancous 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 AB COMMAND 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.

#### 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 Intended Use, Indications for Use, technological characteristics, features,

Report by MEDLAB (Shenzhen) Information Service Co., Ltd.

Page 9-2

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Leto Enterprises Incorporation Sponsor: AB COMMAND Dual Channel Fitness Belt Subject Device: 510(k) submission report, Section 9 File No.:

specifications, materials, operation, and software of AB COMMAND Dual Channel Fitness Belt are substantial cquivalent to the predicate device X2ABS Dual Channel Fitness Belt.

The main differences between the subject device and predicate device are the trade mark, dimension and art design of belt, package bag and box. These differences will not raise new issues of safety and effectiveness.

9. Date of the summary prepared: September 29, 2012

#### Report by MEDLAB (Shenzhen) Information Service Co., Ltd.

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Image /page/3/Picture/0 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features the department's name arranged in a circular pattern around a stylized emblem. The emblem consists of a stylized caduceus, a symbol often associated with medicine and healthcare, with three overlapping lines forming the staff and a serpent winding around it.

## DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

21 December 2012

Leto Enterprises Incorporation % Ms. Sabrina Wei Medlab (Shenzhen) Information Service Co., Ltd. Suite A-2706, Zhongfang Jingyuan, Xinwen Road, Futian District Shenzhen, Guangdong 518100 China

Re: K122414

Trade/Device Name: AB Command Dual Channel Fitness Belt Regulation Number: 21 CFR 890.5850 Regulation Name: Powered Muscle Stimulator Regulatory Class: Class II Product Code: NGX Dated: Undated Received: November 26, 2012

Dear Ms. Wei:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your been wined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the energed of to the enactment date of the Medical Device Amendments, or to commerce pror to they 20, 2017, 12, 12, 2017, 11:22 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 adulton. Thease noter u, 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 r lease be devisou alle 1 Dr mination that your device complies with other requirements of the Act that I Dri has made a associations administered by other Federal agencies. You must

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Page 2 - Ms. Sabrina Wei

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 Of K I art 007), acomig (21 CFR 803); good manufacturing practice requirements as set de rece related daverse overse) (2 - Entation (2) CFR Part 820); and if applicable, the electronic roral in also quino 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 the Concertified, "Misbranding by reference to premarket notification" (21CFR Part note the regulations 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 Tou may 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,

Victor Krauthamer -S

Victor Krauthamer, Ph.D. Acting Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Leto Enterprises Incorporation Sponsor: AB COMMAND Dual Channel Fitness Belt Subject Device: 510(k) submission report, Section 5 File No.:

### 3. Indications for Use

510(k) Number (if known): KIZZYIY Device Name: AB COMMAND Dual Channel Fitness Belt

Indications for Use:

The AB COMMAND 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 (Part 21 CFR 801 Subpart D)

Over-The-Counter Use _ X AND/OR (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division of Neurological and Physical
Medicine Devices
510(k) Number K122414

Report by MEDLAB (Shenzhen) Information Service Co.; Ltd.

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