K192749 · Dermadry Laboratories, Inc. · EGJ · Feb 10, 2020 · Physical Medicine
Device Facts
Record ID
K192749
Device Name
Dermadry
Applicant
Dermadry Laboratories, Inc.
Product Code
EGJ · Physical Medicine
Decision Date
Feb 10, 2020
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 890.5525
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
Dermadry is a Tap Water Iontophoresis device. Its intended use is to treat hyperhidrosis (excessive sweating) of the hands, feet and underarms. Using the device in any other way than its intended purpose may be dangerous.
Device Story
Dermadry is a tap water iontophoresis device for home use by adult patients under physician direction. It treats hyperhidrosis by delivering low-level direct current (DC) between two electrodes immersed in tap water (for hands/feet) or within water-soaked sponges (for underarms). The controller manages current delivery, automatically adjusting voltage to maintain a user-selected current level. It features automatic polarity reversal to minimize pH changes. The device includes a controller, electrodes, treatment trays, and power supply. By applying controlled electrical current, it reduces excessive sweating. Healthcare providers use the device to manage hyperhidrosis, with initial use supervised by a clinician. The device benefits patients by providing a home-based treatment option for excessive sweating.
Clinical Evidence
Bench testing only. Performance data included treatment voltage and amperage accuracy testing under simulated conditions, electrical safety and electromagnetic compatibility (IEC 60601-1, IEC 60601-1-2), biocompatibility (ISO 10993-1), software verification and validation (IEC 62304), usability (IEC 60601-1-6, IEC 62366-1), and home use safety (IEC 60601-1-11).
Technological Characteristics
Tap water iontophoresis; monophasic square pulse current (10 kHz, 90% fixed pulse width). Controller manages current (1-25 mA) and voltage (up to 55 V) based on treatment site. Components: controller, electrodes, trays, sponges, AC adapter (100-240V input, 5V/1.2A output). Connectivity: standalone. Sterilization: N/A. Software: embedded firmware. Safety: automatic polarity reversal, current limiter circuit.
Indications for Use
Indicated for adult patients with hyperhidrosis (pathological sweating) of the hands, feet, and underarms.
Regulatory Classification
Identification
An iontophoresis device is a device that is intended to use a direct current to introduce ions of soluble salts or other drugs into the body and induce sweating for use in the diagnosis of cystic fibrosis or for other uses if the labeling of the drug intended for use with the device bears adequate directions for the device's use with that drug. When used in the diagnosis of cystic fibrosis, the sweat is collected and its composition and weight are determined. Additionally, an iontophoresis device intended for any other purposes is a prescription device that is intended to use a current to introduce ions of drugs or non-drug solutions into the body for medical purposes other than those specified in paragraph (a) of this section, meaning that the device is not intended for use in diagnosis of cystic fibrosis, or a specific drug is not specified in the labeling of the iontophoresis device.
Special Controls
*Classification.* Class II (special controls). The device is classified as class II. The special controls for this device are:(i) The following performance testing must be conducted:
(A) Testing using a drug approved for iontophoretic delivery, or a solution if identified in the labeling, to demonstrate safe use of the device as intended;
(B) Testing of the ability of the device to maintain a safe pH level; and
(C) If used in the ear, testing of the device to demonstrate mechanical safety.
(ii) Labeling must include adequate instructions for use, including sufficient information for the health care provider to determine the device characteristics that affect delivery of the drug or solution and to select appropriate drug or solution dosing information for administration by iontophoresis. This includes the following:
(A) A description and/or graphical representation of the electrical output;
(B) A description of the electrode materials and pH buffer;
(C) When intended for general drug delivery, language referring the user to drug labeling approved for iontophoretic delivery to determine if the drug they intend to deliver is specifically approved for use with that type of device and to obtain relevant dosing information; and
(D) A detailed summary of the device-related and procedure-related complications pertinent to use of the device, and appropriate warnings and contraindications, including the following warning:
*Warning:* Potential systemic adverse effects may result from use of this device. Drugs or solutions delivered with this device have the potential to reach the blood stream and cause systemic effects. Carefully read all labeling of the drug or solution used with this device to understand all potential adverse effects and to ensure appropriate dosing information. If systemic manifestations occur, refer to the drug or solution labeling for appropriate action.(iii) Appropriate analysis/testing must demonstrate electromagnetic compatibility, electrical safety, thermal safety, and mechanical safety.
(iv) Appropriate software verification, validation, and hazard analysis must be performed.
(v) The elements of the device that may contact the patient must be demonstrated to be biocompatible.
(vi) The elements of the device that may contact the patient must be assessed for sterility, for devices labeled as sterile.
(vii) Performance data must support the shelf life of the elements of the device that may be affected by aging by demonstrating continued package integrity and device functionality over the stated shelf life.
{0}------------------------------------------------
Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
February 10, 2020
Dermadry Laboratories Inc. % Louis-Paul Marin President LOK North America Inc. 2025 Michelin Street Laval, Quebec H7L5B7 Canada
Re: K192749
Trade/Device Name: Dermadry Regulation Number: 21 CFR 890.5525 Regulation Name: Iontophoresis Device Regulatory Class: Class II Product Code: EGJ Dated: November 8, 2019 Received: November 12, 2019
Dear Louis-Paul Marin:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.
{1}------------------------------------------------
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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS)
regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
For Vivek Pinto, Ph.D. Director DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health
Enclosure
{2}------------------------------------------------
# Indications for Use
510(k) Number (if known) K192749
Device Name Dermadry
Indications for Use (Describe)
Dermadry is a Tap Water Iontophoresis device. Its intended use is to treat hyperhidrosis (excessive sweating) of the hands, feet and underarms. Using the device in any other way than its intended purpose may be dangerous.
Type of Use (Select one or both, as applicable)
| <div> <span> <span style="font-size:16px">☑</span> Prescription Use (Part 21 CFR 801 Subpart D) </span> </div> |
|--------------------------------------------------------------------------------------------------------------------|
| <div> <span> <span style="font-size:16px">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C) </span> </div> |
# CONTINUE ON A SEPARATE PAGE IF NEEDED.
This section applies only to requirements of the Paperwork Reduction Act of 1995.
#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
{3}------------------------------------------------
Image /page/3/Picture/0 description: The image shows the logo for Dermadry. The logo consists of two overlapping shapes that resemble the letter 'D'. The top 'D' is a darker shade of blue, while the bottom 'D' is a lighter shade of blue. Below the symbol, the word "Dermadry" is written in a sans-serif font, with the same lighter shade of blue as the bottom 'D' in the symbol.
# 510(k) Summary
Dermadry Laboratories inc.
Email: regulatory@lok-northamerica.com
9223 Langelier Blvd Montreal, Quebec
- 1. Type of Subissions Traditional
2. Preparation Date September 27, 2019 (revised February 9, 2020)
- 3. Submitter Address
- Canada, H1P 3K9 4. Contact Person Louis-Paul Marin, eng, LL.B., LL.M. President of LOK North America Inc. Phone: 1 (450) 781-1578 ext. 225 Fax: 1 (450) 681-9663
#### 5. Identification of the Device
| Proprietary Name / Trade Name | Dermadry |
|---------------------------------|-----------------------------------|
| Regulation | 21 CFR 890.5525 |
| Regulation Name | Iontophoresis device |
| Classification Identification | Device, Iontophoresis, Other Uses |
| Classification | II |
| Panel | Physical Medicine |
| Product Code | EGJ |
| Identification of the Predicate | Hidrex PSP1000 |
| 510(k) Number | K133033 |
# 7. Indications for Use of the Subject Device
This Tap-Water-Iontophoresis device is intended to treat hyperhidrosis (pathological sweating) affecting hands, feet, and underarms. Any other use or usage beyond this scope is considered unintended use and may have dangerous consequences.
#### 8. Device Description
6.
The Dermadry is a tap water Iontophoresis device intended to treat hyperhidrosis of the hands, feet and underarms. It achieves its action by producing a given low level direct current (DC) level between each of the two applicable members being treated (i.e. the two feet, or the two hands, or the two underarms) for a given amount of time. The current is controlled and transmitted by a controller between two electrodes in separate water basins into which each of the hands or feet are placed, or via two electrodes within water soaked spongeous pockets that are placed in each of the underarms. It is for home use by a single patient (single patient). It is for use by prescription under the direction of a physician or clinician, and is intended for adult patients.
{4}------------------------------------------------
Image /page/4/Picture/0 description: The image contains the logo for Dermadry. The logo features two interlocking shapes in shades of blue, resembling stylized letters. Below the symbol, the word "Dermadry" is written in a modern, sans-serif font, with the first half in a lighter blue and the second half in a darker blue.
# 9. Substantial Equivalence Determination
| | Predicate Device:<br>Hidrex PSP1000 | Proposed Device:<br>Dermadry |
|--------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | Tap water Iontophoresis device intended to treat hyperhidrosis of the hands, feet, and underarms. | Same<br>Tap Water Iontophoresis device intended to treat hyperhidrosis of the hands, feet, and underarms. |
| Indication for Use: | This Tap-Water-Iontophoresis device is intended to treat hyperhidrosis (pathological sweating) affecting hands, feet, and underarms. Any other use or usage beyond this scope is considered un-intended use and may have dangerous consequences.<br><br>Prescription Use Only | Same<br>Dermadry is a Tap Water Iontophoresis device. Its intended use is to treat hyperhidrosis (excessive sweating) of the hands, feet and underarms. Using the device in any other way than its intended purpose may be dangerous.<br><br>Prescription Use Only |
| Patient Population | Not specified | Difference<br>For adult patients |
| Home Use | Home Use | Same<br>Home Use |
| Main Technology | Tap water iontophoresis:<br>Current applied between contralateral treated areas (right/left hands/feet/armpits) via electrodes covered in a towel immersed in tap water into which the members are placed in the case of the hands or feet applications, or alternately via electrodes in sponges wetted with tap water placed within the armpits. | Same<br>Tap water iontophoresis:<br>Current applied between contralateral treated areas (right/left hands/feet/armpits) via electrodes covered in a towel immersed in tap water into which the members are placed in the case of the hands or feet applications, or alternately via electrodes in sponges wetted with tap water placed within the armpits. |
| Main Equipment | - Controller (digital monitor user interface, current/voltage control, soft sensor buttons )<br>- Electrodes<br>- Towel electrode covers for feet/hands<br>- Sponges electrode covers for armpits<br>- Tray for tap water for treatment of feet/hands<br>- Electrical current cable/connectors (6 mm output jack insulated) between controller and electrodes<br>- Power Supply | Same<br>- Controller (digital monitor user interface, current/voltage control, soft sensor buttons )<br>- Electrodes<br>- Towel electrode covers for feet/hands<br>- Sponges electrode covers for armpits<br>- Tray for tap water for treatment of feet/hands<br>- Electrical current cable/connectors (4 mm output jack insulated) between controller and electrodes<br>- Power Supply |
| Treatment Current/ Voltage/ | Hands, Feet, Armpit: up to 60 V max as set by the user, current self-adjusts up | Differences |
| Time | to 35 mA to maintain desired voltage,<br>unlimited duration set by user with a<br>labelled recommended duration of<br>approximately 15 min<br>Treatments have user selectable pulse<br>width: 50%, 60%, 70%, 80% and 90% or<br>100% | Hands: 1 to 15mA max as set by the<br>user, voltage self-adjusts up to 48V to<br>maintain desired current, 20 min<br>duration limited by controller Feet: 1 to 25mA max as set by the user,<br>voltage self-adjusts up to 55V to<br>maintain desired current, 20 min<br>duration limited by controller Armpits: 1 to 8mA max as set by the<br>user, voltage self-adjusts up to 30V to<br>maintain desired current, 15 min<br>duration limited by controller |
| | | All treatments are with a fixed 90% pulse<br>width (not adjustable). |
| Current/<br>Voltage<br>control | Automatic Control to maintain set/desired<br>Voltage by automatic adjustment of<br>amperage | Differences<br>Automatic control to maintain desired/set<br>Current by automatic adjustment of<br>voltage |
| Max Current<br>Density<br>[mA/in2] (per<br>electrode<br>conductive area) | Hands: 0.28 mA/in2<br>Feet: 0.28 mA/in2<br>Armpit: 4.24 mA/in2 | Differences<br>Hands: 0.10 mA/in2<br>Feet: 0.17 mA/in2<br>Armpit: 1.06 mA/in2 |
| Hardware<br>Output<br>Current/<br>Voltage limits | Max: 60 V DC & 35 mA DC (safety circuit<br>limit) | Differences<br>Max: 60 V DC (also lower software limits<br>per treatment as noted above), 30 mA DC<br>(per current limiter, also software limit of<br>25 mA) |
| Output<br>Pulsed<br>Current | Monophasic square, pulse-width at 9.9 kHz,<br>user selectable: 50%, 60%, 70%, 80% and<br>90% or 100% | Differences<br>Monophasic square, pulse-width at 10 kHz:<br>90% |
| Polarity<br>reversal | Manual polarity reversal | Differences<br>Automatic polarity reversal every 2.5 min<br>for the armpits or every 5 min for the hands<br>and feet |
| Dimensions | Control unit: 7.5"(W) x 2"(H) 5.4"(D)<br>Hard-shell-case: 13.4" x 10.8" x 3.3"<br>Treatment tray: 10.2" x 15.8" x 2.2"<br>Axillary sponges: 2.9" x 3.5" x 1.3"<br>Towel 8.1" x 12.2"<br>Electrodes (feet, hands): 4.5" x 11.2" x 2.4"<br>Electrodes (underarms): 1.9" x 2.2" x 0.6" | Differences:<br>Control unit: 4"(W) x 1.5"(H) x 5.2"(D)<br>Hard-shell-case: 3.4" x 10.8" x 3.3"<br>Treatment tray: N/A (same as case)<br>Axillary sponges: 2.6" x 2.5" x 1"<br>Towel: 8.3" x 12.6"<br>Electrodes (feet, hands): 6.3" x 11.1" x 2.1"<br>Electrodes (underarms): 1.8" x 1.67" x 0.3" |
| Conductive<br>Area (inch²) | Towel (face): 98.8<br>Sponge Cushion (2 faces+edges): 36.94<br>Electrode - feet/hands (face+L-edges):<br>122.13<br>Electrode - underarms (2 faces): 8.25 | Towel (face): 104.1<br>Sponge Pockets (2 faces+edges): 23.42<br>Electrode - feet/hands (face+L-edges):<br>143.43<br>Electrode - underarms (2 faces+edges): 7.56 |
| Power Supply | AC Adapter: Power Mains supply 100-240V @ 50-60 Hz, Max Power Supply Output: 12 V DC, max 500 mA, 6 VA | Differences<br>AC Adapter: Power Mains supply 100-240V @ 50-60 Hz, Max Power Supply Output: 5 V DC, max 1.2 A, 6 VA |
{5}------------------------------------------------
Image /page/5/Picture/1 description: The image shows the logo for Dermadry. The logo consists of two interlocking shapes that resemble the letter 'D' in a stylized font. The word "Dermadry" is written in a sans-serif font below the interlocking shapes. The logo and the text are in shades of blue.
{6}------------------------------------------------
Image /page/6/Picture/14 description: The image features the logo for Dermadry. The logo consists of two interlocking shapes resembling the letter 'D' in a stylized, rounded form. The upper 'D' is a darker teal color, while the lower 'D' is a lighter teal. Below the symbol, the word "Dermadry" is written in a modern, sans-serif font, also in the lighter teal color.
## Intended Use and Indication for Use comparisons:
Both systems have the same general intended use and indications for use. Both are also prescription use & home use.
As to the intended patient population, while in the predicate the intended population group is not specified, in the proposed Dermadry an adult population is specified. This should not raise any new questions of safety or effectiveness since this is more specific and restrictive than in the predicate.
The initial phase of device use is conducted under the supervision of the prescribing healthcare professional. This is similar to the predicate device's first phase of use.
Considering that same intended use, the same indication for use statement, the same home environment of use, and the adult population specificity within that of the proposed device is substantially equivalent to the predicate with respect to the intended use and indications.
## Technology Comparisons:
The Dermadry implements the same iontophoresis technology as the predicate utilizing the same main components for the treatment of hyperhidrosis of the hands, feet, and armpits.
The differences as highlighted in the table are of an engineering approach nature. Their discussion in terms of equivalence are as follows:
Differences in the method of controlling the treatment current and treatment current levels: ●
While in the predicate the treatment current is indirectly control of the user set voltage level across the electrodes, in the proposed device the applied current treatment is directly controlled with the system adjusting the voltage across the electrodes to provide the desired current level. As to the treatment current levels, in the predicate, equally for any of the treatment locations, the maximum voltage level that the user can adjust is 60 V, and the current is limited to 35 mA (at any voltage level). In the Dermadry, the directly controlled target current levels have limits depending on treatment location as noted in the table (15, 25, and 8 mA for the hands, feet, and armpits respectively), and the self-adjusting voltages are limited also per the treatment location (48, 55, and 30 V for the hands, feet, and armpits respectively). Therefore, the proposed device treatment current and voltages are in all cases less than the maximums in the predicate with corresponding lower current sensitivity and risk effects. As to effectiveness, although the maximum permissible treatment levels are reduced, the current levels in the Dermadry are of the same order as those typically used in Iontophoresis device for hyperhidrosis (around 10 - 25 mA). Therefore, these differences do not raise any new questions of safety or effectiveness.
{7}------------------------------------------------
# Dermadry
Differences in the treatment durations: ●
In addition, whereas in the predicate the duration is adjusted and set by the user and is not limited by the controller with only a labelled recommended duration of approximately 15 min for all three treatment areas, in the Dermadry the controller limits the duration of the current administration per the selected treatment area (20, 20, and 15 min for the hands, feet, and armpits respectively). These longer durations in the Dermadry for the hand and feet case are implemented corresponding with its lower possible current levels as compared to the predicate. Similarly as per the above point, this controller's limited duration should help further minimize possible sensitivity and risks effects given the fixed set limits. Furthermore, the treatment duration limits in the Dermadry are still comparatively safe relative to the lower recommended durations in the hands and feet cases of the predicate given the lower permissible current and voltage levels and the corresponding total possible total energy that the Dermadry can output to the patient. Considering the maximum current and voltages in the worst treatment cases, the maximum energy that can be output to the patient is 1890 Joules over 15 minutes in the predicate as compared to 1650 Joules over 20 minutes for the Dermadry (see table below).
| | Max Current<br>(A) | Max Tension<br>(V) | Duration<br>(min) | Max Energy<br>(J) |
|------------------|--------------------|--------------------|-------------------|-------------------|
| Predicate Hidrex | 0.035 | 60 | 15 | 1890 |
| Dermadry | 0.025 | 55 | 20 | 1650 |
● Differences in the maximum current densities:
Stemming mainly from the lower current levels in the Dermadry, the current density levels are respectively 64%, 39%, and 75% less in the proposed Dermadry for the hands, feet, and underarms electrodes as compared to the predicate levels. These should therefore not present any new risk concerns similarly as noted in the above points while still providing adequately effective current levels.
- Differences in the DC signal pulse width specifications: ●
Whereas in the predicate the pulse width is user selectable (50% to 100% in increments of 10%), in the Dermadry device it is fixed at 90%. Given that the Dermadry setting is within that of available settings in the predicate and that this characteristic is more related to patient comfort, it does not present any new risk concerns.
- Differences in the polarity reversal specifications:
Whereas in the predicate the polarity is to be reversed manually by the user (approximately when results are initially felt), in the predicate it's automatically reversed every 5, 5, and 2.5 min for the hands, feet, and armpits respectively. This further ensures that the polarity will be reversed to help minimize pH changes and related effects. Therefore, this does not present any new risk concerns.
- Differences in the hardware output current/voltage limits: ●
The predicate outer hardware cut-off safety limits is 60 V / 35 mA. This is slightly lower in the Dermadry at 60 V and 30 mA (current limiter circuit). Given the slightly improved safety level, this does not present any new risk concerns.
● Differences in the output jacks:
The jacks in the Dermadry are is of slightly smaller size as compared to the predicate. They are however insulated as in the predicate, and they equally meet the minimum requirements of safety per IEC 60601-1 as in the predicate.
{8}------------------------------------------------
Image /page/8/Picture/1 description: The image shows the logo for Dermadry. The logo consists of two interlocking shapes that resemble the letter 'D' in a stylized font. The shapes are colored in shades of blue, with the upper shape being a darker teal and the lower shape a lighter turquoise. Below the shapes, the word "Dermadry" is written in a lowercase sans-serif font, also in the lighter turquoise color.
● Differences in the dimensions:
While there are differences in component dimensions, aside from the effect on current density from the electrodes as discussed above, the differences are only dimensional without raising any new questions of safety and effectiveness.
- Differences in the conductive areas:
While there are differences in the conductive areas (lower in the Dermadry underarm electrode and sponge pocket and higher in the feet/hands electrode and towel as compared to the predicate), the lower areas are offset by the lower current levels in the Dermadry with the current densities still be significantly lower than in the predicate without raising new questions of safety or effectiveness as was discussed above under the current density point.
. Differences in the power supply:
While the AC Adapter in the Dermadry has a lower voltage and higher amperage output to the controller than in the predicate, the power output is the same (6 VA) and in both cases the power supply Adapters meet the safety requirements of IEC 60601-1.
Considering the above, the Dermadry proposes the same technology and methods as the predicate to address the same indications. The noted differences in their detail specifications do not present any new questions of safety or effectiveness whereby the two devices are substantially equivalent.
# 10. Performance Data
- -Treatment voltage and amperage accuracy performance testing was performed under simulated conditions.
- Electrical safety and Electromagnetic Compatibility per standards IEC 60601-1 and IEC 60601-1--2.
- -Biocompatibility Evaluation per ISO 10993-1 and the related FDA Guidance: Use of International Standard ISO 10993-1, Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process.
- Software verification and validation testing per IEC 62304 and FDA Guidance: Guidance for the -Content of Premarket Submissions for Software Contained in Medical Devices Document, May, 2005.
- Usability performance per IEC 60601-1-6 & IEC 62366-1. -
- -Home Use safety per IEC 60601-1-11.
As based on the above tests and evaluations, the performance of the Dermadry system do not raise any new safety and effectiveness concerns as compared to the predicate.
## 11. Conclusion
The Dermadry is substantially equivalent to the currently cleared Hidrex PSP1000 predicate device (510(k) # K133033).
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.