← Product Code [IPF](/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IPF) · K031017

# SYS*STIM 208 AND 208A (K031017)

_Mettler Electronics Corp. · IPF · May 30, 2003 · Physical Medicine · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IPF/K031017

## Device Facts

- **Applicant:** Mettler Electronics Corp.
- **Product Code:** [IPF](/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IPF.md)
- **Decision Date:** May 30, 2003
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 890.5850
- **Device Class:** Class 2
- **Review Panel:** Physical Medicine
- **Attributes:** Therapeutic

## Indications for Use

1. Symptomatic relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain. 2. Temporary relaxation of muscle spasm. 3. Prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscles. 4. Increase of blood flow in the treatment area. 5. Prevention or retardation of disuse atrophy in post-injury type conditions. 6. Muscle re-education. 7. Maintaining or increasing range of motion.

## Device Story

The Sys*Stim 208/208A is a microprocessor-controlled, portable electrical muscle stimulator. The device delivers low-volt, asymmetrical, electrically balanced biphasic waveforms to the patient via one (Model 208) or two (Model 208A) channels. The clinician selects treatment parameters—including pulse frequency (1-80 Hz), tetanize, and surge modes—using manual knobs and buttons. The device features an optional patient-operated termination switch for safety. The output is used to stimulate muscles for therapeutic purposes, such as re-education, spasm relaxation, or circulation improvement. The device is intended for professional clinical use. It operates on AC power and includes an automatic shut-off timer. The healthcare provider monitors the patient's response to the stimulation to adjust intensity and treatment duration, aiming to achieve the specified therapeutic outcomes.

## Clinical Evidence

No clinical data provided. Substantial equivalence is based on bench testing and comparison of technological characteristics, including waveform analysis, electrical output specifications, and safety compliance.

## Technological Characteristics

Powered muscle stimulator; 110V AC power source; ABS plastic housing; microprocessor-controlled; asymmetrical biphasic rectangular waveform; 1-80 Hz frequency range; 1 or 2 channels; constant voltage output; manual intensity/parameter controls; patient termination switch; automatic shut-off timer; isolated output circuitry.

## Regulatory 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

- Chattanooga's Intelect LV110/LV120 ([K861248](/device/K861248.md))
- AMREX' MS322/MS324 (Pre-amendment device)

## Submission Summary (Full Text)

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{0}------------------------------------------------

#### SYS*STIM ® 208/208A, MODEL ME 208/208A KO31017 510(K) SUMMARY

| Submitter's Name: | Mettler Electronics Corp.  |
|-------------------|----------------------------|
| Address:          | 1333 South Claudina Street |
|                   | Anaheim, CA 92805          |

MAY 3 0 2003

Telephone: 714-533-2221

Robert E. Fleming Contact: Director, QA/RA

March 26, 2002 Date Prepared:

## Device Name:

- a. TRADE NAME:
- b. CLASSIFICATION NAME:
- c. COMMON NAME:

Sys*Stim® 208/208A, Model ME 208/208A Powered Muscle Stimulator Electrical Muscle Stimulator

## Predicate Devices:

| a. TRADE NAME:    | Chattanooga's Intelect LV110/LV120<br>AMREX' MS322/MS324 |
|-------------------|----------------------------------------------------------|
| b. 510(k) Number: | K861248<br>Pre-amendment device                          |

## Description of Device:

## Sys*Stim 208, Model ME 208

The microprocessor controlled Sys*Stim 208 produces low volt current through one channel. The unit produces an asymmetrical electrically balanced waveform. There are three modes of operation: Pulse-1 to 80 Hz, Tetanize-Continuous Output, 80 Hz and Surge-80 Hz, On/Off times variable. The Sys*Stim 208 is portable and beautifully designed. Up and down buttons control the timer while easy-to-use knobs allow you to select treatment parameters and adjust intensity. An optional accessory for the Sys*Stim 208 is the Patient Termination Switch, which is connected to the jack located on back of the unit.

Image /page/0/Picture/16 description: The image shows a device with a screen that displays the number 212. The device has a white border and a dark screen. A cable is connected to the device on the right side. 

{1}------------------------------------------------

# SYS*STIM ® 208/208A, MODEL ME 208/208A 510(K) SUMMARY

#### Sys*Stim 208A, Model ME 208A

The microprocessor controlled Sys*Stim 208A produces low volt current through two channels. The unit produces an asymmetrical electrically balanced waveform. There are four modes of operation: Pulse-1 to 80 Hz, Tetanize-Continuous Output, 80 Hz, Surge-80 Hz, On/Off times variable and Recip-80 Hz, output alternates between the two channels. The Sys*Stim 208A is portable and beautifully designed. Up and down buttons control the timer while easy-to-use knobs allow you to select treatment parameters and adjust intensity. An optional accessory for the Sys+Stim 208A is the Patient Termination Switch, which is connected to the jack located on back of the unit.

Image /page/1/Picture/3 description: The image shows a medical device with a digital display. The device has a white casing and a dark screen. The screen displays the number 22. There is a cable attached to the device.

#### Device Intended Use Statement:

510(k) Number: Device Name: Sys*Stim® 208/208A, Model ME 208/208A

Indications for use:

1. Symptomatic relief of chronic intractable pain, acute post traumatic pain or acute post surgical pain.

2. Temporary relaxation of muscle spasm.

3. Prevention of post-surgical phlebo-thrombosis through immediate stimulation of calf muscles.

- 4. Increase of blood flow in the treatment area.
- 5. Prevention or retardation of disuse atrophy in post-injury type conditions.
- 6. Muscle re-education.
- 7. Maintaining or increasing range of motion.

KO31017

{2}------------------------------------------------

K031017

# SYS*STIM®208/208A, MODEL ME 208/208A 510(K) SUMMARY

# Comparison of Technological Characteristics Between Sys*Stim® 208/208A, Model ME 208/208A and Predicate Devices:

| 510 K #                                            | K                                                                                                                                                                                                                                                                                                 | K880235                                   | Pre-amendment                                                 |
|----------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------|---------------------------------------------------------------|
| Device Name                                        | Sys-Stim 208                                                                                                                                                                                                                                                                                      | LV-110                                    | MS322                                                         |
| Manufacturer                                       | Mettler Electronics                                                                                                                                                                                                                                                                               | Chattanooga                               | Amrex-Zetron                                                  |
| Power Source                                       | 110 V AC, 60 Hz ±10%                                                                                                                                                                                                                                                                              | 120 V AC, 50/60 Hz                        | 120 V AC, 60 Hz                                               |
| Number Of Output Modes                             | 3                                                                                                                                                                                                                                                                                                 | 3                                         | 3                                                             |
| Channel(S)                                         | 1                                                                                                                                                                                                                                                                                                 | 1                                         | 1                                                             |
| Synchronous                                        | N/A                                                                                                                                                                                                                                                                                               | N/A                                       | N/A                                                           |
| Reciprocal                                         | N/A                                                                                                                                                                                                                                                                                               | N/A                                       | N/A                                                           |
| Computerized                                       | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| Software Provided                                  | N/A                                                                                                                                                                                                                                                                                               | N/A                                       | N/A                                                           |
| Constant Current                                   | No                                                                                                                                                                                                                                                                                                | Not stated in the manual                  | Not stated in the manual                                      |
| Constant Voltage                                   | Yes                                                                                                                                                                                                                                                                                               | Not stated in the manual                  | Not stated in the manual                                      |
| Max Output Current (mA)                            | 184 mA peak ±20% into 500 Ω<br>72 mA peak ±20% into 2 KΩ<br>17 mA peak ±20% into 10 KΩ                                                                                                                                                                                                            | Not Stated in the manual                  | Not Stated in the manual                                      |
| Max Output Voltage (V)                             | 92 V peak ±20% into 500 Ω<br>144 V peak ±20% into 2 KΩ<br>166 peak ±20% into 10 KΩ                                                                                                                                                                                                                | 110 V peak into 1K ohm<br>load            | 110 V peak into 1K ohm<br>load<br>28 V peak into 100 ohm load |
| Waveforms & Channels                               |                                                                                                                                                                                                                                                                                                   |                                           |                                                               |
| All Channels                                       | Asymmetrical biphasic with<br>zero net DC                                                                                                                                                                                                                                                         | Asymmetrical biphasic with<br>zero net DC | Asymmetrical biphasic with<br>zero net DC                     |
| Output Displays                                    | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| Channel Isolation                                  | In this system all the outputs<br>are isolated from each other,<br>they have their own<br>amplifiers which are<br>independent from<br>neighboring channels or<br>outputs. The only common<br>thing between the outputs is<br>the microprocessor & the<br>power supply.                            | Not Stated in the manual                  | Not Stated in the manual                                      |
| Line Current Isolation                             | AC power supply is<br>converted to DC Power<br>supply through transformer.<br>Hence there is an insulation<br>of mains from circuitry.<br>From circuitry to output<br>again there is insulation<br>through the transformer,<br>there by double separation<br>between mains and the<br>human body. | Not Stated in the manual                  | Not Stated in the manual                                      |
| Automatic Overload Trip                            | No                                                                                                                                                                                                                                                                                                | Not Stated in the manual                  | Not Stated in the manual                                      |
| Automatic Over Current Trip                        | No                                                                                                                                                                                                                                                                                                | Not Stated in the manual                  | Not Stated in the manual                                      |
| Current/Voltage Level                              | No                                                                                                                                                                                                                                                                                                | Not Stated in the manual                  | Not Stated in the manual                                      |
| Automatic No Load Trip                             | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| Automatic Shut-Off                                 | Yes                                                                                                                                                                                                                                                                                               | Yes                                       | Yes                                                           |
| Patient Override                                   | Yes                                                                                                                                                                                                                                                                                               | Optional                                  | Optional                                                      |
| Control Method                                     | Remote stop                                                                                                                                                                                                                                                                                       | Remote stop                               | Remote stop                                                   |
| Max Leakage Current (µA)                           |                                                                                                                                                                                                                                                                                                   |                                           |                                                               |
| Normal                                             | <100                                                                                                                                                                                                                                                                                              | Not Stated in the manual                  | <50                                                           |
| Single Fault                                       | <300                                                                                                                                                                                                                                                                                              | Not Stated in the manual                  | <50                                                           |
| Indicator Display                                  |                                                                                                                                                                                                                                                                                                   |                                           |                                                               |
| Unit Functioning                                   | Yes                                                                                                                                                                                                                                                                                               | Yes                                       | Yes                                                           |
| Low Battery Indicator                              | N/A                                                                                                                                                                                                                                                                                               | N/A                                       | N/A                                                           |
| Standards                                          |                                                                                                                                                                                                                                                                                                   |                                           |                                                               |
| UL 544                                             | No                                                                                                                                                                                                                                                                                                | No                                        | Yes                                                           |
| UL 2601-1-UL                                       | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| CUL                                                | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| CSA C22.2 NO 601.1-M90                             | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| IEC60601-2-10                                      | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| EN-55011 (CISPR-11)                                | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| MDD 93/42/EEC, Annex II                            | No                                                                                                                                                                                                                                                                                                | No                                        | No                                                            |
| Compliance with 21 CFR 898                         | Yes                                                                                                                                                                                                                                                                                               | Yes                                       | Yes                                                           |
| Timer Settings                                     | 0-60 minutes ±5%                                                                                                                                                                                                                                                                                  | 0-30 minutes                              | 0- 30 minutes                                                 |
| Automatic Shut Off                                 | Yes                                                                                                                                                                                                                                                                                               | Yes                                       | Yes                                                           |
| Weight (Ibs.)                                      | 2.25                                                                                                                                                                                                                                                                                              | 3                                         | 3                                                             |
| DIMENSIONS (in.)                                   |                                                                                                                                                                                                                                                                                                   |                                           |                                                               |
| H x W x L                                          | 2.5 (H) x 6 (D) x 8 (L)                                                                                                                                                                                                                                                                           | 8 (D) x 5.2 (W) x 6.5 (H)                 | 7.5 (D) x 7.25 (W) x 4.75 (H)                                 |
| Housing Materials                                  | ABS Plastic                                                                                                                                                                                                                                                                                       | Not stated in the manual                  | Not stated in the manual                                      |
| Construction                                       | Injection Molded                                                                                                                                                                                                                                                                                  | Not stated in the manual                  | Not stated in the manual                                      |
| III. Alternating Current                           |                                                                                                                                                                                                                                                                                                   |                                           |                                                               |
| Type                                               | Biphasic                                                                                                                                                                                                                                                                                          | Biphasic                                  | Alternating                                                   |
| Shape                                              | Rectangular                                                                                                                                                                                                                                                                                       | Rectangular                               | Rectangular                                                   |
| Symmetry                                           | Asymmetrical                                                                                                                                                                                                                                                                                      | Asymmetrical                              | Asymmetrical                                                  |
| Net Charge                                         | Zero                                                                                                                                                                                                                                                                                              | Zero                                      | Zero                                                          |
| Method                                             | Balanced Waveform                                                                                                                                                                                                                                                                                 | Balanced Waveform                         | Balanced Waveform                                             |
| Phase Duration Range                               | + Phase = 200 µs ±10%<br>- Phase = 4 x + Phase ±10%                                                                                                                                                                                                                                               | 200 µs at 50% V max.                      | 200 µs at 50% V max.                                          |
| Interphase Interval                                | N/A                                                                                                                                                                                                                                                                                               | N/A                                       | N/A                                                           |
| Frequency Range                                    | 1-80 Hz ±10%                                                                                                                                                                                                                                                                                      | 1-80 Hz                                   | 1-80 Hz                                                       |
| Tetanize                                           | 80 Hz ±10%                                                                                                                                                                                                                                                                                        | 80 Hz                                     | 80 Hz                                                         |
| Maximum Current Density                            | 0.132 mA/cm² @ 500 Ω                                                                                                                                                                                                                                                                              | Not stated in the manual                  | Not stated in the manual                                      |
| Maximum Phase Charge<br>(u Coulombs)               | 56 µC ±10% into a 100 ohm load                                                                                                                                                                                                                                                                    | 56 µC into a 100 ohm load                 | 56 µC into a 100 ohm load                                     |
| 500 OHMS                                           | 33.5 ±10%                                                                                                                                                                                                                                                                                         | Not stated in the manual                  | Not stated in the manual                                      |
| 2K OHMS                                            | 13.1 ±10%                                                                                                                                                                                                                                                                                         | Not stated in the manual                  | Not stated in the manual                                      |
| 10K OHMS                                           | 3.4 ±10%                                                                                                                                                                                                                                                                                          | Not stated in the manual                  | Not stated in the manual                                      |
| Formula                                            | $q = l x t$                                                                                                                                                                                                                                                                                       | Not stated in the manual                  | Not stated in the manual                                      |
| Maximum Power Density                              | 0.012 W/cm² @ 500 Ω                                                                                                                                                                                                                                                                               | Not stated in the manual                  | Not stated in the manual                                      |
| Amplitude Modulation Options<br>Surge              |                                                                                                                                                                                                                                                                                                   |                                           |                                                               |
| Frequency                                          | 80 Hz ±10%                                                                                                                                                                                                                                                                                        | 80 Hz                                     | 80 Hz                                                         |
| On Times                                           | 0.375 to 3.75 seconds ±10%                                                                                                                                                                                                                                                                        | 0.375 to 3.75 seconds                     | 0.375 to 3.75 seconds                                         |
| Off Times                                          | 0.375 to 3.75 seconds ±10%                                                                                                                                                                                                                                                                        | 0.375 to 3.75 seconds                     | 0.375 to 3.75 seconds                                         |
| Modulation Options                                 |                                                                                                                                                                                                                                                                                                   |                                           |                                                               |
| a) May Be Selected<br>Independently Or<br>Together | N/A                                                                                                                                                                                                                                                                                               | N/A                                       | N/A                                                           |
| b) Simultaneously For<br>Each Channel Pair         | N/A                                                                                                                                                                                                                                                                                               | N/A                                       | N/A                                                           |
| c) Independent Controls<br>For Each Channel        | N/A                                                                                                                                                                                                                                                                                               | N/A                                       | N/A                                                           |

## ME 208

{3}------------------------------------------------

# SYS*STIM®208/208A, MODEL ME 208/208A | KO 20 |0 |7
510/17 | 10/2510/K) SUMMARY 510(K) SUMMARY

{4}------------------------------------------------

# SYS*STIM®208/208A, MODEL ME 208/208A K(03)017 510(K) SUMMARY

Note 1: The Current density and Power density have been calculated using Average Current. Average Current = (Pulse Width / Pulse Frequency ) * Peak Current where Pulse Width and Pulse Frequency is in microseconds Pulse Width = 182 microseconds @ 500 Ohms, Observed on CRO Pulse Frequency = 12500 microseconds (80 Hz - Maximum Frequency)

| equation for maximum phase   | Current = ( Output Voltage / 500 Ohms)                                               |
|------------------------------|--------------------------------------------------------------------------------------|
| charge                       | Phase Charge = Pulse Width x Current (peak to peak)                                  |
| equation for maximum current | Current Density = (Pulse On period / Total Pulse period) x (Voltage /<br>resistance) |
| density                      |                                                                                      |
| equation for Power Density   | Power Density = Current Density x Output Voltage                                     |

{5}------------------------------------------------

# SYS*STIM®208/208A, MODEL ME 208/208A 510(K) SUMMARY

Image /page/5/Picture/1 description: The image shows a handwritten alphanumeric string. The string is "KO31017". The characters are written in black ink on a white background.

# ME 208A

| 510 K #                                            | K                                                                                                                                                                                                                                                                                                 | K880235                                                       | Pre-amendment<br>MS324                                        |
|----------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|
| Device Name                                        | Sys*Stim 208A                                                                                                                                                                                                                                                                                     | LV-120                                                        | MS324                                                         |
| Manufacturer                                       | Mettler Electronics                                                                                                                                                                                                                                                                               | Chattanooga                                                   | Amrex-Zetron                                                  |
| Power Source                                       | 110 V AC, 60 Hz ±10%                                                                                                                                                                                                                                                                              | 120 V AC, 50/60 Hz                                            | 120 V AC, 60 Hz                                               |
| Number Of Output Modes                             | 4                                                                                                                                                                                                                                                                                                 | 4                                                             | 4                                                             |
| Channel(S)                                         | 2                                                                                                                                                                                                                                                                                                 | 2                                                             | 2                                                             |
| Synchronous                                        | Yes                                                                                                                                                                                                                                                                                               | Yes                                                           | Yes                                                           |
| Reciprocal                                         | Yes                                                                                                                                                                                                                                                                                               | Yes                                                           | Yes                                                           |
| Computerized                                       | No                                                                                                                                                                                                                                                                                                | No                                                            | No                                                            |
| Software Provided                                  | N/A                                                                                                                                                                                                                                                                                               | N/A                                                           | N/A                                                           |
| Constant Current                                   | No                                                                                                                                                                                                                                                                                                | Not stated in the manual                                      | Not stated in the manual                                      |
| Constant Voltage                                   | Yes                                                                                                                                                                                                                                                                                               | Not stated in the manual                                      | Not stated in the manual                                      |
| Max Output Current (mA)                            | 184 mA peak ±20% into 500 Ω<br>72 mA peak ±20% into 2 ΚΩ<br>17 mA peak ±20% into 10 ΚΩ                                                                                                                                                                                                            | Not Stated in the manual                                      | Not Stated in the manual                                      |
| Max Output Voltage (V)                             | 92 V peak ±20% into 500 Ω<br>144 V peak ±20% into 2 KΩ<br>166 peak ±20% into 10 KΩ                                                                                                                                                                                                                | 110 V peak into 1K ohm<br>load<br>28 V peak into 100 ohm load | 110 V peak into 1K ohm<br>load<br>28 V peak into 100 ohm load |
| Waveforms & Channels                               |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| All Channels                                       | Asymmetrical biphasic with<br>zero net DC                                                                                                                                                                                                                                                         | Asymmetrical biphasic with<br>zero net DC                     | Asymmetrical biphasic with<br>zero net DC                     |
| Output Displays                                    | No                                                                                                                                                                                                                                                                                                | No                                                            | No                                                            |
| Channel Isolation                                  | In this system all the outputs<br>are isolated from each other,<br>they have their own<br>amplifiers which are<br>independent from<br>neighboring channels or<br>outputs. The only common<br>thing between the outputs is<br>the microprocessor & the<br>power supply.                            | Not Stated in the manual                                      | Not Stated in the manual                                      |
| Line Current Isolation                             | AC power supply is<br>converted to DC Power<br>supply through transformer.<br>Hence there is an insulation<br>of mains from circuitry.<br>From circuitry to output<br>again there is insulation<br>through the transformer,<br>there by double separation<br>between mains and the<br>human body. | Not Stated in the manual                                      | Not Stated in the manual                                      |
| Automatic Overload Trip                            | No                                                                                                                                                                                                                                                                                                | Not Stated in the manual                                      | Not Stated in the manual                                      |
| Automatic Over Current Trip                        | No                                                                                                                                                                                                                                                                                                | Not Stated in the manual                                      | Not Stated in the manual                                      |
| Current/Voltage Level                              | No                                                                                                                                                                                                                                                                                                | Not Stated in the manual                                      | Not Stated in the manual                                      |
| Automatic No Load Trip                             | No                                                                                                                                                                                                                                                                                                | No                                                            | No                                                            |
| Automatic Shut-Off                                 | Yes                                                                                                                                                                                                                                                                                               | Yes                                                           | Yes                                                           |
|                                                    | 510(K) SUMMARY                                                                                                                                                                                                                                                                                    |                                                               |                                                               |
| Patient Override                                   | Yes                                                                                                                                                                                                                                                                                               | Optional                                                      | Optional                                                      |
| Control Method                                     | Remote stop                                                                                                                                                                                                                                                                                       | Remote stop                                                   | Remote stop                                                   |
| Max Leakage Current (µA)                           |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| Normal                                             | <100                                                                                                                                                                                                                                                                                              | Not Stated in the manual                                      | <50                                                           |
| Single Fault                                       | <300                                                                                                                                                                                                                                                                                              | Not Stated in the manual                                      | <50                                                           |
| Indicator Display                                  |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| Unit Functioning                                   | Yes                                                                                                                                                                                                                                                                                               | Yes                                                           | Yes                                                           |
| Low Battery Indicator                              | N/A                                                                                                                                                                                                                                                                                               | N/A                                                           | N/A                                                           |
| Standards                                          |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| UL 544                                             | No                                                                                                                                                                                                                                                                                                | No                                                            | Yes                                                           |
| UL 2601-1-UL                                       | No                                                                                                                                                                                                                                                                                                | No                                                            | No                                                            |
| CUL                                                | No                                                                                                                                                                                                                                                                                                | No                                                            | No                                                            |
| CSA C22.2 NO 601.1-M90                             | No                                                                                                                                                                                                                                                                                                | No                                                            | No                                                            |
| IEC60601-2-10                                      | N/A                                                                                                                                                                                                                                                                                               | No                                                            | No                                                            |
| EN-55011 (CISPR-11)                                | N/A                                                                                                                                                                                                                                                                                               | No                                                            | No                                                            |
| MDD 93/42/EEC, Annex II                            | N/A                                                                                                                                                                                                                                                                                               | No                                                            | No                                                            |
| Compliance with 21 CFR 898                         | Yes                                                                                                                                                                                                                                                                                               | Yes                                                           | Yes                                                           |
| Timer Settings                                     | 0-60 minutes ±5%                                                                                                                                                                                                                                                                                  | 0-30 minutes                                                  | 0- 30 minutes                                                 |
| Automatic Shut Off                                 | Yes                                                                                                                                                                                                                                                                                               | Yes                                                           | Yes                                                           |
| Weight (lbs.)                                      | 2.25                                                                                                                                                                                                                                                                                              | 3                                                             | 3                                                             |
| DIMENSIONS (in.)                                   |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| H x W x L                                          | 2.5 (H) x 6 (D) x 8 (L)                                                                                                                                                                                                                                                                           | 8 (D) x 5.2 (W) x 6.5 (H)                                     | 7.5 (D) x 7.25 (W) x 4.75 (H)                                 |
| Housing Materials                                  | ABS Plastic                                                                                                                                                                                                                                                                                       | Not stated in the manual                                      | Not stated in the manual                                      |
| Construction                                       | Injection Molded                                                                                                                                                                                                                                                                                  | Not stated in the manual                                      | Not stated in the manual                                      |
| III. Alternating Current                           |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| Type                                               | Biphasic                                                                                                                                                                                                                                                                                          | Biphasic                                                      | Alternating                                                   |
| Shape                                              | Rectangular                                                                                                                                                                                                                                                                                       | Rectangular                                                   | Rectangular                                                   |
| Symmetry                                           | Asymmetrical                                                                                                                                                                                                                                                                                      | Asymmetrical                                                  | Asymmetrical                                                  |
| Net Charge                                         | Zero                                                                                                                                                                                                                                                                                              | Zero                                                          | Zero                                                          |
| Method                                             | Balanced Waveform                                                                                                                                                                                                                                                                                 | Balanced Waveform                                             | Balanced Waveform                                             |
| Phase Duration Range                               | + Phase = 200 µs ±10%<br>- Phase = 4 x + Phase ±10%                                                                                                                                                                                                                                               | 200 µs at 50% V max.                                          | 200 µs at 50% V max.                                          |
| Interphase Interval                                | N/A                                                                                                                                                                                                                                                                                               | N/A                                                           | N/A                                                           |
| Frequency Range                                    | 1-80 Hz ±10%                                                                                                                                                                                                                                                                                      | 1-80 Hz                                                       | 1-80 Hz                                                       |
| Tetanize                                           | 80 Hz ±10%                                                                                                                                                                                                                                                                                        | 80 Hz                                                         | 80 Hz                                                         |
| Maximum Current Density                            | 0.132 mA/cm² @ 500 Ω                                                                                                                                                                                                                                                                              | Not stated in the manual                                      | Not stated in the manual                                      |
| Maximum Phase Charge<br>(u Coulombs)               | 56 µC ±10% into a 100 ohm load                                                                                                                                                                                                                                                                    | 56 µC into a 100 ohm load                                     | 56 µC into a 100 ohm load                                     |
| 500 OHMS                                           | 33.5 ±10%                                                                                                                                                                                                                                                                                         | Not stated in the manual                                      | Not stated in the manual                                      |
| 2K OHMS                                            | 13.1 ±10%                                                                                                                                                                                                                                                                                         | Not stated in the manual                                      | Not stated in the manual                                      |
|                                                    | 510(K) SUMMARY                                                                                                                                                                                                                                                                                    |                                                               |                                                               |
| 10K OHMS                                           | 3.4 ±10%                                                                                                                                                                                                                                                                                          | Not stated in the manual                                      | Not stated in the manual                                      |
| Formula                                            | $q = I \times t$                                                                                                                                                                                                                                                                                  | Not stated in the manual                                      | Not stated in the manual                                      |
| Maximum Power Density                              | 0.012 W/cm² @ 500 Ω                                                                                                                                                                                                                                                                               | Not stated in the manual                                      | Not stated in the manual                                      |
| Amplitude Modulation Options                       |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| Surge                                              |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| Frequency                                          | 80 Hz ±10%                                                                                                                                                                                                                                                                                        | 80 Hz                                                         | 80 Hz                                                         |
| On Times                                           | 0.375 to 3.75 seconds ±10%                                                                                                                                                                                                                                                                        | 0.375 to 3.75 seconds                                         | 0.375 to 3.75 seconds                                         |
| Off Times                                          | 0.375 to 3.75 seconds ±10%                                                                                                                                                                                                                                                                        | 0.375 to 3.75 seconds                                         | 0.375 to 3.75 seconds                                         |
| Recip                                              |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| Frequency                                          | 80 Hz ±10%                                                                                                                                                                                                                                                                                        | 80 Hz                                                         | 80 Hz                                                         |
| On Times                                           | 0.375 to 3.75 seconds ±10%                                                                                                                                                                                                                                                                        | 0.375 to 3.75 seconds                                         | 0.375 to 3.75 seconds                                         |
| Off Times                                          | 0.375 to 3.75 seconds ±10%                                                                                                                                                                                                                                                                        | 0.375 to 3.75 seconds                                         | 0.375 to 3.75 seconds                                         |
| Modulation Options                                 |                                                                                                                                                                                                                                                                                                   |                                                               |                                                               |
| a) May Be Selected<br>Independently Or<br>Together | N/A                                                                                                                                                                                                                                                                                               | N/A                                                           | N/A                                                           |
| b) Simultaneously For<br>Each Channel Pair         | N/A                                                                                                                                                                                                                                                                                               | N/A                                                           | N/A                                                           |
| c) Independent Controls<br>For Each Channel        | N/A                                                                                                                                                                                                                                                                                               | N/A                                                           | N/A                                                           |

Image /page/5/Picture/6 description: The image shows a black and white abstract shape. The shape is located in the upper right corner of the image. The shape is irregular and has a rough texture.

{6}------------------------------------------------

# SYS*STIM ® 208/208A, MODEL ME 208/208A | KOZ/O/7

.

:

{7}------------------------------------------------

# SYS*STIM ® 208/208A, MODEL ME 208/208A XO3/077 510(K) SUMMARY

Note 1: The Current density and Power density have been calculated using Average Current. Average Current = (Pulse Width / Pulse Frequency ) * Peak Current where Pulse Width and Pulse Frequency is in microseconds Pulse Width = 182 microseconds @ 500 Ohms, Observed on CRO Pulse Frequency = 12500 microseconds (80 Hz - Maximum Frequency)

| equation for maximum phase   | Current = (Output Voltage / 500 Ohms)                                             |
|------------------------------|-----------------------------------------------------------------------------------|
| charge                       | Phase Charge = Pulse Width x Current (peak to peak)                               |
| equation for maximum current | Current Density = (Pulse On period / Total Pulse period) x (Voltage / resistance) |
| density                      |                                                                                   |
| equation for Power Density   | Power Density = Current Density x Output Voltage                                  |

ﺮ ﺍﻟﻤﺮﺍﺟﻊ ..; 

{8}------------------------------------------------

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/8/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized image of an eagle's head with three stripes representing the feathers. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter.

Public Health Service

MAY 3 0 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Robert E. Fleming Director, QA/RA Official Correspondent Mettler Electronics Corp. 1333 South Claudina Street Anaheim, California 92805

Re: K031017 Trade/Device Name: Sys*Stim® 208 and 208A Regulation Number: 21 CFR 882.5890, 890.5850 Regulation Name: Transcutaneous electrical nerve stimulator for pain relief, Powered muscle stimulator Regulatory Class: II Product Code: IPF, GZJ Dated: March 28, 2003 Received: March 31, 2003

Dear Mr. Fleming:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is s…

---

**Source:** [https://fda.innolitics.com/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IPF/K031017](https://fda.innolitics.com/submissions/PM/subpart-f%E2%80%94physical-medicine-therapeutic-devices/IPF/K031017)

**Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. If you're preparing [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/), [get in touch](https://innolitics.com/contact).

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