510(k) submission workbook

Everything a premarket notification needs, in one place: which device you are clearing, which cleared device it is compared against, the wording of the claim, and the sections that must be in the package.

Which device are you clearing?

Predicate: [K number of a cleared OTC TENS predicate you select]

DiaPulse cannot be a predicate here. Substantial equivalence needs the same technological characteristics, and the pod produces a low-frequency electrical pulse through electrodes — no radiofrequency field at all. A TENS submission must cite a cleared TENS predicate.

  • · Low-frequency pulsed electrical stimulation through adhesive electrodes
  • · Twelve factory preset programs; the app selects a preset number, never a waveform
  • · Intensity 1–20 and run time 1–60 minutes, both clamped by the pod's own firmware
  • · Charge per pulse and charge density from Amendment A bench measurement
  • · Indication sought: symptomatic relief of chronic intractable pain and pain associated with arthritis

Worth being blunt: DiaPulse is not a usable predicate for the pod. It is a 27.12 MHz radiofrequency machine, and the pod is an electrical stimulator with no radiofrequency output at all — a reviewer would reject the comparison. Cite DiaPulse when you clear the radiofrequency applicator; for the pod, cite a cleared TENS device.

Your details and the claim

Package checklist

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The workbook

510(k) PREMARKET NOTIFICATION — SUBSTANTIAL EQUIVALENCE WORKBOOK
Prepared 2026-09-18

Submitter: [submitter legal name]
Contact: [contact person, phone, email]
Address: [establishment address]

1. SUBJECT DEVICE
Trade name: [device trade name]
Common name: [common or usual name]
Device family: DOMAS-class wireless TENS / EMS pod
Regulation: 21 CFR 882.5890 — transcutaneous electrical nerve stimulator for pain relief
Classification: Class II, powered electrical stimulator

2. PREDICATE DEVICE
Predicate: [K number of a cleared OTC TENS predicate you select]
Predicate 510(k) number: [K number]
Basis: DiaPulse cannot be a predicate here. Substantial equivalence needs the same technological characteristics, and the pod produces a low-frequency electrical pulse through electrodes — no radiofrequency field at all. A TENS submission must cite a cleared TENS predicate.

3. INDICATIONS FOR USE
[indications for use statement]

4. TECHNOLOGICAL CHARACTERISTICS COMPARED
  - Low-frequency pulsed electrical stimulation through adhesive electrodes
  - Twelve factory preset programs; the app selects a preset number, never a waveform
  - Intensity 1–20 and run time 1–60 minutes, both clamped by the pod's own firmware
  - Charge per pulse and charge density from Amendment A bench measurement
  - Indication sought: symptomatic relief of chronic intractable pain and pain associated with arthritis

5. DIFFERENCES FROM THE PREDICATE
[differences and the testing that addresses them]

6. OUTPUT MEASUREMENT
Measured output is reported in Amendment A, the bench dosimetry record for this
device. Published literature values are not used as device output.

7. CLINICAL SUPPORT — PILOT STUDY ENDPOINTS
Pulsed radiofrequency energy for postoperative pain and edema after elective foot and ankle surgery: a randomised, double-blind, sham-controlled pilot
Design: Randomised 1:1, double-blind, sham-controlled pilot study, 40 participants.
Primary endpoint: Ankle edema at day 7, measured by the figure-of-eight tape method on both ankles, reported as the difference from the unoperated side.
Secondary endpoints:
  - Pain on the 0–10 numeric rating scale at each follow-up point.
  - Analgesic consumption, recorded as daily morphine milligram equivalents.
  - WOMAC pain subscale score at day 30.
  - Wound surface area from photo planimetry, where a wound is present.
  - Adverse events and device-related events across the 30 days.
Assessment schedule: 1 hour, 24 hours, Day 3, Day 7, Day 14, Day 30.
Measurement rule: Tape measurement repeats to roughly ±3 mm at a limb landmark, so a change smaller than 3 mm is treated as measurement noise, not a result.
Statistical note: the pilot estimates effect size to size a pivotal trial. It is
not powered to demonstrate efficacy, and is presented on that basis.

8. SECTION CHECKLIST
  [ ] Cover letter and CDRH cover sheet (Form FDA 3514)
  [ ] Indications for use statement (Form FDA 3881)
  [ ] 510(k) summary and substantial equivalence discussion
  [ ] Truthful and accurate statement
  [ ] Device description, components and accessories
  [ ] Proposed labelling, instructions for use and safety warnings
  [ ] Biocompatibility of skin-contacting materials (ISO 10993)
  [ ] Electrical safety and EMC testing (IEC 60601-1, 60601-1-2)
  [ ] Output measurement report — Amendment A bench dosimetry
  [ ] Software documentation and cybersecurity (app as the controller)
  [ ] Human factors and use-related risk analysis
  [ ] Shelf life and reprocessing of electrode pads, where applicable
  [ ] Clinical data — pilot study report, if clinical data is required

This workbook organises your submission; it is not a substitute for regulatory advice, and the K number, testing reports and labelling still have to be prepared and reviewed.