The LL TENS 160A and LL TENS 160B are used for the symptomatic relief and management of chronic intractable pain and/or as an adjunctive treatment in the management of post-surgical and post-traumatic acute pain.
Device Story
Handheld, battery-powered TENS device for OTC pain management; generates electrical pulses transmitted via skin electrodes to peripheral nerves to block pain signals. Features two output channels, four preset programs, and 14-step intensity adjustment. User-operated in clinics, hospitals, or home environments. Device provides symptomatic relief; user monitors status via LCD display (battery, intensity, mode). Differences between 160A and 160B models are limited to LCD placement relative to keys.
Clinical Evidence
Bench testing only. Compliance with IEC 60601-1, IEC 60601-1-2, IEC 60601-1-11, and IEC 60601-1-6 standards. Usability study conducted confirming users can operate the device correctly and safely.
Technological Characteristics
Handheld TENS stimulator; ABS housing; 2 AAA battery power source. Alternating bi-phasic symmetrical rectangular waveform. Two output channels; 4 preset programs. Microprocessor-controlled. Compliant with 21 CFR 898 for electrodes. Dimensions: 38x127x20 mm; Weight: 70g.
Indications for Use
Indicated for adults requiring symptomatic relief and management of chronic intractable pain or adjunctive treatment for post-surgical and post-traumatic acute pain.
Regulatory Classification
Identification
A transcutaneous electrical nerve stimulator for pain relief is a device used to apply an electrical current to electrodes on a patient's skin to treat pain.
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
January 13, 2016
Fuji Dynamics Ltd Man Man Chung Unit 1-3, 23/F., Laws Commercial Plaza 788 Cheung Sha Wan Road, Kowloon Hong Kong
Re: K152374
Trade/Device Name: LL TENS 160A, LL TENS 160B Regulation Number: 21 CFR 882.5890 Regulation Name: Stimulator, Nerve, Transcutaneous, Over-The-Counter Regulatory Class: Class II Product Code: NUH Dated: December 8, 2015 Received: December 11, 2015
Dear Man Man Chung:
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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set
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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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
# William J.Heetderks -S
for Carlos L. Peña. PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known) K152374
Device Name
LL TENS 160A LL TENS 160B
Indications for Use (Describe)
The LL TENS 160A and LL TENS 160B are used for the symptomatic relief and management of chronic intractable pain and/or as an adjunctive treatment in the management of post-surgical and post-traumatic acute pain.
Type of Use (Select one or both, as applicable):
| <input type="checkbox"/> | Experimental Use (Applicable if an IDE with a Pediatric Extrapolation Plan) |
|-------------------------------------|------------------------------------------------------------------------------|
| <input checked="" type="checkbox"/> | Compassionate Use (Applicable if an IDE with a Pediatric Extrapolation Plan) |
| | Prescription Use (Part 21 CFR 801 Subpart D)
|X | Over-The-Counter Use (21 CFR 801 Subpart C)
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# 510(k) Summary
Date of submission prepared: 24 December 2015
| Submitter: | Fuji Dynamics Ltd. | |
|-----------------------------------------|------------------------------------------------------------------------|-----------|
| Address : | Unit 1-3, 23/F., Laws Commercial Plaza | |
| | 788 Cheung Sha Wan Road, Kowloon, Hong Kong | |
| Tel : | (852) 2786 4218 | |
| Fax : | (852) 2744 6775 | |
| E-Mail : | fdman@fuji-dynamics.com.hk | |
| Official Contact: | Man, Man Chung | |
| Address of the manufacturing facility : | No. A46, Gao Er South Road, | |
| | Pin Shan, Tangxia Town, | |
| | Dong Guan City, | |
| | Guang Dong Province, China | |
| SUBMITTED DEVICE : | | |
| Generic Name: | Transcutaneous Electrical Nerve Stimulator | |
| | (T.E.N.S) | |
| Proprietary or Trade Name: | LL TENS 160A | |
| | LL TENS 160B | |
| Common / Usual Name: | Stimulator, nerve, transcutaneous, over-the counter | |
| Classification Name: | Stimulator, nerve, transcutaneous, over-the counter<br>21 CFR 882.5890 | |
| Product Code: | NUH | |
| Device Panel: | | Neurology |
| Device Classification: | Class II | |
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# PREDICATE DEVICES :
Device Name: Pain Buddy Applicant: Biomedical Life Systems. Inc. 510(k) Number: K102051 Product Code: NUH
# INDICATIONS FOR USE :
LL TENS 160A and LL TENS 160B are used for the symptomatic relief and management of chronic intractable pain and/or as an adjunctive treatment in the management of post-surgical and post-traumatic acute pain.
# DEVICE DESCRIPTION :
LL TENS 160A and LL TENS 160B are handheld battery powered TENS devices for pain relief intended for over-the-counter use. The device would generate electrical pulses and transmit it to the electrodes, which are attached to the patient's (user's) skin. Consequently, the electrical pulses would then pass through the skin to the underlying peripheral nerves to aid in the blocking of pain signals traveling to the brain.
LL TENS 160A and LL TENS 160B has two output channels and four preset programs. The program mode is displayed on LCD. The user can adjust the output intensity by 14 steps.
LL TENS 160A and LL TENS 160B have same hardware, software and mechanical structure. The difference is that LL TENS 160A's LCD display is placed on the bottom of keys while LL TENS 160B's LCD display is on the top of keys.
Since the device is battery powered, there is no connection to AC mains supply.
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# SUMMARY OF SUBSTANTIAL EQUIVALENCE
| Attribute | Applicant Device | Predicate Device |
|-----------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------|
| Product Name | LL TENS 160A<br>LL TENS 160B | Pain Buddy |
| 510(K) number | K152374 | K102051 |
| Product Code | NUH | NUH |
| Indications for use | This device is used for the<br>symptomatic relief and<br>management of chronic intractable<br>pain and/or as an adjunctive<br>treatment in the management of<br>post-surgical and post-traumatic<br>acute pain. | Same as applicant device |
| Patient Population | Adult | Adult |
| Prescriptive or OTC | OTC | OTC |
| Environment of use | Clinics, hospital and home<br>environment | Clinics, hospital and home<br>environment |
| Number of output<br>modes | 4 | 1 |
| Number of output<br>channels | 2 | 1 |
| Waveform | Alternating Bi-phasic symmetrical<br>Rectangular waveform | Asymmetrical Biphasic<br>Rectangular waveform |
| Maximum output<br>Voltage (max) | | |
| 500 Ω | 70V | 30V |
| 2K Ω | 98V | 36.8V |
| 10K Ω | 108V | 38.4V |
| Maximum output<br>Current (max) | | |
| 500 Ω | 140 mA | 60 mA |
| 2K Ω | 49 mA | 18.4 mA |
| 10K Ω | 10.8 mA | 3.84 mA |
| Maximum Phase<br>charge (500 Ω) | 18.1 μC | 13.3 μC |
| | | |
| Maximum Average<br>Current (500 Ω) | 0.9 mA | 0.2 mA |
| Maximum Current<br>density (500 Ω) | 0.062 mA/cm² | 0.066 mA |
| Maximum Power<br>Density (500 Ω) | 2.25 mW/cm² | 2.28 mW / cm² |
| Frequency (Hz) | 90 Hz | 80 Hz |
| Pulse Duration (μs) | 208 μs | 160 μs |
| Burst Mode | Yes | No |
| Timer range (min) | Continuous, 15 min, 30 min, 45 min<br>and 60 min selectable. | Continuous |
| Indication display<br>-On/Off status | Yes | Yes |
| -Low Battery | Yes | Yes |
| -Voltage/Current level | Yes | Yes |
| -Output mode | Yes | Yes |
| -Time to cut-off | No | No |
| Power Source | 2 AAA Batteries | 2 AAA Batteries |
| Dimensions (mm) | 38 (W) x 127 (L) x 20 (H) mm | 35 (W) x 125(L) x 16(H) mm |
| Weight | 70 g | 60 g |
| Housing material | ABS | ABS |
| Microprocessor control | Yes | Yes |
| Automatic Overload<br>trip | No | No |
| Automatic no-load trip | Yes | Yes |
| Automatic shut-off | Yes | Yes |
| Electrode compliance<br>with 21 CFR 898 | Yes | Yes |
| Electrode cable | Yes | Yes |
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#### E. 510(k) Summary
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#### DIFFERENCES BETWEEN NEW DEVICE AND PREDICATE DEVICE:
The technical characteristics of LL TENS 160A / LL TENS 160B are similar to those of the predicate devices in design, energy source, intended use and function. Like the predicate device Pain Buddy, the LL TENS 160A / LL TENS 160B is a device used to apply an electrical current to electrodes on a patient's skin to relieve pain.
LL TENS 160A and LL TENS 160B are developed on the similar platform as the predicate device Pain Buddy. On hardware, the schematic and the use of electronics components are similar. The software uses same mechanism as Pain Buddy. Therefore the basic timing, key scanning and generation of pulse are the same.
Some output parameters, including maximum output voltage, maximum output current, phase charge, maximum average current, maximum frequency and pulse duration are different from those of Pain Buddy. However, the maximum phase charge of LL TENS is 18.1uC, which is less than the limit of the safety standard. The Maximum average current is 0.9mA, which is also below the 10mA limit. The maximum average power density is 0.0025 W/cm², which is also less than 0.25W/cm². The maximum frequency of LL TENS is 90Hz. It is slightly higher than those of predicate device and thus does not raise question of safety and effectiveness. Finally, the maximum pulse duration is 208us and higher than of predicate device. Nevertheless, the maximum phase charge of LL TENS is still less than safety limit in this pulse duration. In conclusion, these differences between LL TENS and predicate device do not raise a question in safety and effectiveness.
The LL TENS 160A and LL TENS 160B are views as substantially equivalent to the predicate devices because the electrical stimulation provided by the LL TENS 160A and LL TENS 160B is substantially equivalent to that commonly employed by TENS devices that have been cleared for marketing without prescription labeling, i.e. for OTC use.
The differences between LL TENS and the predicate device do not raise questions on safety and effectiveness. In other word, LL TENS 160A and LL TENS 160B are as safe as the predicate device.
## PERFORMANCE TESTS:
The relevant standards including :
IEC 60601-1:2005 + CORR. 1:2006 + CORR. 2:2007 + AM1:2012 Medical Electrical Equipment - Part 1: General requirements for basic safety and essential performance.
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IEC 60601-1-2:2007 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance. Collateral Standard: Electromagnetic Compatibility. (Edition 3).
IEC 60601-1-11:2010 Medical electrical equipment - Part 1-11 General requirement for basic safety and essential performance - Collateral standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment.
IEC 60601-1-6:2010 Medical electrical equipment - Part 1-6 General requirements for basic safety and essential performance – Collateral standard: Usability.
#### USABILITY STUDY:
A usability study has been performed and showed that users were able to use the device correctly and safety.
#### CONCLUSION:
The electrical stimulation provided by the LL TENS 160A and LL TENS 160B is similar to that commonly employed by TENS devices that have been cleared for marketing without prescription labeling (i.e. OTC).
LL TENS 160A and LL TENS 160B have the same intended use and the same technical characteristics as the OTC cleared predicate device, Pain Buddy [510(k) No.: K102051].
The differences between LLTENS and the predicate device do not raise questions on safety and effectiveness. In other words, LL TENS 160A and LL TENS 160B are as safe as the predicate device.
Thus, the new device LL TENS 160A and LL TENS 160B are substantially equivalent to the predicate device.
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.