Ultrasound Stimulator

K240788 · Jkh Health Co., Ltd. · IMI · Jun 4, 2025 · Physical Medicine

Device Facts

Record IDK240788
Device NameUltrasound Stimulator
ApplicantJkh Health Co., Ltd.
Product CodeIMI · Physical Medicine
Decision DateJun 4, 2025
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 890.5300
Device ClassClass 2
AttributesTherapeutic

Intended Use

Apply stationary use of ultrasound to: Generate deep heat within body tissues for the treatment of selected medical conditions such as the relief of pain, the relief of muscle spasms, the treatment of joint contractures, and the local increase in circulation. Apply continuous movement of ultrasound for: 1. Pain. 2. Pain relief, muscle spasms, and joint contractures. 3. Relief of pain, muscle spasms, and joint contractures that may be associated with: • Adhesive capsulitis, • Bursitis with slight calcification, • Myositis, • Soft tissue injuries, and • Shortened tendons due to past injuries and scar tissues. 4. Relief of pain, muscle spasms, and joint contractures resulting from: • Capsular tightness, and • Capsular scarring. 5. Localized increase in blood flow. 6. Increased range of motion of contracted joint using heat and stretch techniques.

Device Story

Portable, rechargeable ultrasound stimulator; used in home or clinical settings by patients under medical professional direction. Device applies ultrasonic energy to treatment sites via one or two applicators; utilizes piezoelectric PZT crystals to generate continuous wave ultrasound (1.5 MHz). System includes main console, applicator, charger, ultrasound gel, and adhesive pads. Microprocessor-controlled; features automatic alerts for improper application, automatic shut-off, and user override. Overheating protection limits treatment head temperature to <43°C. Provides deep heat to tissues; aids pain relief, muscle spasm reduction, joint contracture treatment, and increased blood flow. Healthcare providers use output to manage musculoskeletal conditions; patients benefit from non-invasive, home-based therapeutic heat and stretch therapy.

Clinical Evidence

No clinical data provided. Substantial equivalence supported by bench testing, including power output evaluation, electrical safety (IEC 60601-1), EMC (IEC 60601-1-2), thermal safety (IEC 60601-2-5), biocompatibility (ISO 10993-5/10), and software verification.

Technological Characteristics

Piezoelectric ultrasound generation using PZT crystals; 1.5 MHz frequency; continuous wave (100% duty cycle). ABS housing. Rechargeable 3.7Vdc battery; 100–240 Vac input. Microprocessor-controlled with automatic shut-off and overheating protection (<43°C). Non-sterile. Complies with IEC 60601-1, IEC 60601-1-2, IEC 60601-2-5, and ISO 10993 standards.

Indications for Use

Indicated for patients requiring deep heat therapy for pain relief, muscle spasms, joint contractures, and localized circulation increase. Applicable for conditions including adhesive capsulitis, bursitis, myositis, soft tissue injuries, and scar tissue. Prescription use only.

Regulatory Classification

Identification

An ultrasonic diathermy for use in applying therapeutic deep heat for selected medical conditions is a device that applies to specific areas of the body ultrasonic energy at a frequency beyond 20 kilohertz and that is intended to generate deep heat within body tissues for the treatment of selected medical conditions such as relief of pain, muscle spasms, and joint contractures, but not for the treatment of malignancies.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0} FDA U.S. FOOD &amp; DRUG ADMINISTRATION June 4, 2025 JKH Health Co., Ltd. % Bill Dai Managing Member Jkh Usa LLC 14271 Jeffrey Rd. #246 Irvine, California 92620 Re: K240788 Trade/Device Name: Ultrasound Stimulator Regulation Number: 21 CFR 890.5300 Regulation Name: Ultrasonic Diathermy Regulatory Class: Class II Product Code: IMI, PFW Dated: May 5, 2025 Received: May 5, 2025 Dear Dr. Bill Dai: 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 (the 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 available 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. U.S. Food &amp; Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993 www.fda.gov {1} K240788 - Bill Dai Page 2 Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download). Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181). 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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050. All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-devices/medical-device-safety/medical-device-reporting-mdr-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/medical-devices/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-devices/device-advice-comprehensive-regulatory- {2} K240788 - Bill Dai Page 3 assistance/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, Amber T. Ballard -S Amber Ballard, PhD Assistant Director DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {3} DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below. Submission Number (if known) K240788 Device Name Ultrasound Stimulator Indications for Use (Describe) Apply stationary use of ultrasound to: Generate deep heat within body tissues for the treatment of selected medical conditions such as the relief of pain, the relief of muscle spasms, the treatment of joint contractures, and the local increase in circulation. Apply continuous movement of ultrasound for: 1. Pain. 2. Pain relief, muscle spasms, and joint contractures. 3. Relief of pain, muscle spasms, and joint contractures that may be associated with: • Adhesive capsulitis, • Bursitis with slight calcification, • Myositis, • Soft tissue injuries, and • Shortened tendons due to past injuries and scar tissues. 4. Relief of pain, muscle spasms, and joint contractures resulting from: • Capsular tightness, and • Capsular scarring. 5. Localized increase in blood flow. 6. Increased range of motion of contracted joint using heat and stretch techniques. Type of Use (Select one or both, as applicable) ☑ Prescription Use (Part 21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C) ## 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 &gt; "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." {4} Page 1 of 6 510(k) Summary This 510(k) Summary of safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92. 1. Submitter’s Information Submitter: JKH Health Co., Ltd. Address: 3-5F And 11F, Building 14, Tiangong Smart Valley Industrial Park, Fuhai Road, Xiagang Community, Chang'an Town, Dongguan, Guangdong, China Contact Person: Pu Jiang Tel: +86-755-27926589 Fax: +86-755-29970323 Email: sales@JKHhealth.com Date of Preparation: June 4, 2025 2. Subject Device Trade/Device Name: Ultrasound Stimulator Common Name: Ultrasonic Diathermy For Use In Applying Therapeutic Deep Heat Review Panel: Physical Medicine Product Code: IMI, PFW Regulation Number: 21 CFR 890.5300 Device Class: II Use: Prescription 3. Predicate device Primary Predicate Device: ManaSport+ 510(k) Number: K222098 Clearance Date: March 8, 2023 Submitter: ManaMed, Inc. Predicate Device: sam 2.0 Long Duration Ultrasound System 510(k) Number: K191568 Clearance Date: March 6, 2020 Submitter: ZetrOZ Systems, LLC 4. Description of Subject Device As a portable and rechargeable prescriptive device in the home or clinical/hospital setting, the subject device is intended to apply ultrasound to the patient’s treatment site. It is demonstrated ultrasound can be used to apply therapeutic deep heat for the treatment of medical conditions including relief of pain, muscle spasms, and joint contractures. It is intended to be used for 30 minutes per cycle (up to 4 cycles) in the home or clinical/hospital setting by or under the direction of a medical professional to apply ultrasound to the patient’s treatment site. The device automatically alerts the patient in case of improper application or performance. All the control components and the rechargeable battery of the device are protectively housed, and the device is connected to one or two applicators of ultrasound. The subject device consists of the main device, the applicator, the charger/adapter, the liquid and/or solid ultrasound gel, and the sticky pad. For the best result, use the ultrasound gel and the sticky pad supplied. {5} If you feel your skin is sensitive to the ultrasound gel and/or pad supplied, please contact your physician or use a different FDA-cleared ultrasound gel and/or pad. ## 5. Indications for Use Apply stationary use of ultrasound to: Generate deep heat within body tissues for the treatment of selected medical conditions such as the relief of pain, the relief of muscle spasms, the treatment of joint contractures, and the local increase in circulation. Apply continuous movement of ultrasound for: 1. Pain. 2. Pain relief, muscle spasms, and joint contractures. 3. Relief of pain, muscle spasms, and joint contractures that may be associated with: - Adhesive capsulitis, - Bursitis with slight calcification, - Myositis, - Soft tissue injuries, and - Shortened tendons due to past injuries and scar tissues. 4. Relief of pain, muscle spasms, and joint contractures resulting from: - Capsular tightness, and - Capsular scarring. 5. Localized increase in blood flow. 6. Increased range of motion of contracted joint using heat and stretch techniques. ## 6. Substantial Equivalence The following Table 1 summarizes the comparison between the subject device and the predicate device, indicating the intended use and technical characteristics of the subject device are substantially equivalent to those of the predicate device. Table 1. Comparison between the predicate device and the subject device | Parameter & Predicate Device(s) | Subject Device | Primary Predicate Device | Predicate Device | Equivalence | | --- | --- | --- | --- | --- | | 510(k)/PMA Number | K240788 | K222098 | K191568 | N/A | | Submitter /Manufacturer | JKH Health Co., Ltd. | ManaMed, Inc. | ZetrOZ Systems, LLC | N/A | | Device Name/Model | Ultrasound Stimulator | ManaSport+ | sam 2.0 Long Duration Ultrasound System | N/A | | Product Code of Ultrasound | IMI, PFW | IMI, PFW | PFW | Identical | | Indications for Use | Apply stationary use of ultrasound to: Generate deep heat within body tissues for the treatment of selected medical conditions such as the relief of pain, the relief of muscle spasms, the treatment of joint contractures, and the local increase in circulation. Apply continuous movement of ultrasound for: 1. Pain. 2. Pain relief, muscle spasms, and joint contractures. 3. Relief of pain, muscle | Apply stationary use of ultrasound to: Generate deep heat within body tissues for the treatment of selected medical conditions such as the relief of pain, the relief of muscle spasms, the treatment of joint contractures, and the local increase in circulation. Apply continuous movement of ultrasound for: 1. Pain. 2. Pain relief, muscle spasms, and joint contractures. | The sam 2.0 Long Duration Ultrasound Device is intended for home use to apply ultrasonic energy to generate deep heat within body tissues for the treatment of selected medical conditions such as the relief of pain, the relief of muscle spasms, the treatment of joint contractures, and the local increase in circulation. | Identical | {6} | | | spasms, and joint contractures that may be associated with: • Adhesive capsulitis, • Bursitis with slight calcification, • Myositis, • Soft tissue injuries, and • Shortened tendons due to past injuries and scar tissues. 4. Relief of pain, muscle spasms, and joint contractures resulting from: • Capsular tightness, and • Capsular scarring. 5. Localized increase in blood flow. 6. Increased range of motion of contracted joint using heat and stretch techniques. | 3. Relief of pain, muscle spasms, and joint contractures that may be associated with: • Adhesive capsulitis, • Bursitis with slight calcification, • Myositis, • Soft tissue injuries, and • Shortened tendons due to past injuries and scar tissues. 4. Relief of pain, muscle spasms, and joint contractures resulting from: • Capsular tightness, and • Capsular scarring. 5. Localized increase in blood flow. 6. Increased range of motion of contracted joint using heat and stretch techniques. | | | | --- | --- | --- | --- | --- | --- | | Prescription or OTC | | Prescription | Prescription | Prescription | Identical | | Power Source(s) | | 100–240 Vac with 5Vdc Input and rechargeable 3.7Vdc battery | 100–240 Vac with 5Vdc Input and rechargeable 3.7Vdc battery | 120/240 VAC with 5V DC Input Power Jack and Lithium Battery Powered | Identical | | Number of Output | | 1 or 2 | 1 | 1-2 | Identical | | Software /Firmware/ Microprocessor Control? | | Yes | Yes | Yes | Identical | | Automatic No-Load Trip? | | Yes | Yes | Not Publicly Available | Identical | | Automatic Shut Off? | | Yes | Yes | Not Publicly Available | Identical | | User Override Control? | | Yes | Yes | Not Publicly Available | Identical | | Indicator Display: | On/Off Status? | Yes | Yes | Not Publicly Available | Identical | | | Low Battery? | Yes | Yes | Not Publicly Available | Identical | | Timer Range (minutes) | | 30 | 20 | 240 | Longer than the primary predicate, and shorter than the predicate. There is an overheating temperature protection enforced to prevent the temperature of the treatment head going over 43°C during the normal use, so the possible range of temperature is lower than 43°C. The tests provided shows this does not affect the safety or effectiveness. | | Compliance with Voluntary Standards? | | Yes | Yes | Yes | Identical | | Biocompatibility? | | Yes | Yes | Yes | Identical | | Sterility | | Non-Sterile | Non-Sterile | Non-Sterile | Identical | | Housing construction material | | ABS | ABS | ABS | Identical | | Console/Generator Dimensions (mm) [L x W x H] | | 138×62×22 | 140×56×24 | 61×70.9×18.8 | Similar, and do not affect the safety or effectiveness | | Console/Generator Weight (kg) | | 0.18 | 0.13 | 0.01 | Similar, and do not affect the safety or effectiveness | Page 3 of 6 {7} | Treatment head dimensions (mm) [L x W x H] | 61 x 45 x 12 | 30 x 30 x 12 | 38.1 x 33 x 11.4 | Similar, and do not affect the safety or effectiveness | | --- | --- | --- | --- | --- | | Treatment Head Weight (kg) | 0.047 | 0.031 | 0.10 | Similar, and do not affect the safety or effectiveness | | Functions and design | Ultrasound | Ultrasound | Ultrasound | Identical | | Frequency | 1.5 MHz ± 10% | 1.5 | 3 MHz ± 20% | Identical | | Leakage current | <0.3mA | <0.3mA | 0.3mA | Identical | | Crystal material | PZT | PZT | Lead Zirconate-Titanate | Identical | | Technology of Ultrasound generation | Piezoelectric | Piezoelectric | Piezoelectric | Identical | | Output Mode | Continuous Wave - 100% duty cycle | Continuous Wave - 100% duty cycle | Continuous Wave - 100% duty cycle | Identical. | | Ratio of temporal maximum output power to the output power | 1:1 | 1:1 | Not Publicly Available | Identical | | Maximum Value of the Output Power (W ± 20%) | 0.60 | 0.60 | Single Applicator: 0.65W ± 20% Dual Applicator: 1.3W ± 20% | Similar | | Temporal average power (W ± 20%) | 0.60 | 0.60 | Not Publicly Available | Identical | | Maximum value of the effective intensity (W/cm2) | 0.15 ± 20% | 0.16 ± 20% | 0.264 ± 20% | Identical or similar. According to the IEC 61689, the deviation allowed is ± 30%. | | Beam Maximum Intensity and Accuracy (W/cm2) | 0.15 ± 20% | 0.16 ± 20% | 0.132 ± 20% | Identical or similar. According to the IEC 61689, the deviation allowed is ± 30%. | | Duty factor | 100% | 100% | Not Publicly Available | Identical | | Beam Type | Collimated | Collimated | Divergent | Identical | | Applicator size | Area: 3.9 cm2 | Area: 3.9 cm2 or 5cm2 | One Applicator: 5 cm2 Two Applicators: 10 cm2 | Identical | | Maximum patient contact surface temperature of the treatment head under simulated or actual use conditions for all operating conditions (continually operated for maximum treatment time) (°C) | Meets IEC 60601-2-5, section 201.11 Protection against excessive temperature and other HAZARDS. | Meets IEC 60601-2-5, section 201.11 Protection against excessive temperature and other HAZARDS. | 44 °C | Identical | | Peak Temperature Rise vs. Time and Tissue Depth to Maximum Treatment Time (for fixed Treatment Head Placement) (°C) | 8.6°C at 1 cm 6.1°C at 2 cm 2.1°C at 3 cm Max treatment time: 30 min per cycle and 4 cycles | 7.6°C at 1 cm 3.3°C at 2 cm 1.4°C at 3 cm Max treatment time: 20 min | 8°C at 1 cm 6°C at 3 cm 3°C at 5 cm Max treatment time: 4 hours | Identical or similar. There is an overheating temperature protection enforced to prevent the temperature of the treatment head going over 43°C during the normal use, so the possible range of temperature is lower than 43°C. The tests provided shows this does not affect the safety or effectiveness. | | Beam Non-Uniformity Ratio | <5 | 4 ± 20% | <5:1 ± 20% | Identical | | Effective Radiating Area (cm2) | 3.9 ± 20% | 3.9 or 5 ± 20% | One: 6 cm2 Two:12 cm2 ± 20% | Identical | | | | | | | | | | | | | 7. Summary of Substantial Equivalence {8} As shown in the above Table 1, the ultrasound from the subject device is identical or similar to the predicate device. There are no new safety or effectiveness issues concerning the subject device, which offers substantially equivalent technical specifications, features, intended use, safety, and effectiveness to the predicate device. ## 8. Non-Clinical Tests Performed Non-clinical tests were performed on the subject device in order to validate the design and to assure conformance with the following voluntary design standards in connection with medical device electrical safety, and electromagnetic compatibility. (a) ANSI AAMI ES60601-1 "Medical Electrical Equipment - Part 1: General requirements for basic safety and essential performance (IEC 60601-1)". (b) IEC 60601-1-2 "Medical Electrical Equipment - Part 1-2: General Requirements for Basic Safety and Essential Performance - Collateral standard: Electromagnetic Compatibility - Requirements and Tests". (c) IEC 60601-2-5 "Medical electrical equipment - Part 2-5: Particular requirements for the basic safety and essential performance of ultrasonic physiotherapy equipment". (d) ISO 10993-5 "Biological evaluation of medical devices -- Part 5: Tests for In Vitro Cytotoxicity". (e) ISO 10993-10 "Biological evaluation of medical devices - Part 10: Tests for Irritation and Skin Sensitization". (f) IEC 60601-1-6 "Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability". (g) IEC 60601-1-11 "Medical electrical equipment - Part 1-11: General requirements for basic safety and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment" In addition to the compliance of voluntary standards, the verification of software used in the subject device has been carried out according to the FDA Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices, and the bench performance testing for the subject device and ultrasonic gel pad has also been conducted. The subject device was evaluated to ensure all the non-clinical tests in this submission support a determination of substantial equivalence, including: - Power output evaluation - Evaluation of total treatment time - Electrical safety and EMC evaluation - Device Operation evaluation - Powering On/Off - Usability evaluation - Biocompatibility evaluation - Thermal safety evaluation - Performance evaluation Page 5 of 6 {9} - Software evaluation All the non-clinical tests performed above demonstrate the subject device is as safe and as effective as the legally marketed predicate devices. The detailed comparison between the subject device and the predicate devices in the above Table 1 demonstrates the intended use and technical characteristics of the subject device are substantially equivalent to those of the predicate devices. ## 9. Clinical Testing Clinical testing was not provided in support of this 510(k) application. ## 10. Conclusion The testing and comparison performed demonstrate the subject device is substantially equivalent to the predicate devices. Therefore, the subject device is as safe and effective as the predicate devices that have been legally marketed in the United States. Page 6 of 6
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