FDA UDI In Commercial Distribution 🇺🇸 United States

Tri-Wave Combination Stimulator

DI: 00860019001609 · Model: EMS100 · ELITE MEDICAL SUPPLY OF NY
Product Codes
2
GMDN Terms
2
Identifiers
2
Pkg Device Count
1

Basic Information

Brand Name
Tri-Wave Combination Stimulator
Primary DI
00860019001609
Version / Model
EMS100
Company Name
ELITE MEDICAL SUPPLY OF NY
Labeler DUNS
608469891
Distribution Status
In Commercial Distribution
Device Count in Pkg
1
Record Status
Published
Publish Date
2018-03-16
Public Version
7
Public Version Date
2023-06-02
Public Version Status
Update
Public Device Record Key
bcdac13c-4a6c-4195-b75e-5d9e95530741

Device Description

The Elite Medical Supply of NY EMS100 Tri-Wave Combination Stimulator (the Device) is a battery and 110V wall adapter powered electrotherapy devices intended for clinic and outpatient rehabilitative therapy, acute postoperative care and home use for patients suffering from a variety of chronic pain issues. Prescribed by a physician, it gives the clinician a variety of electrotherapy modes to treat a range of indications. The Device is designed for clinician and patient ease of use and provides safe and effective dispensing of the desired electrotherapy treatment. The Intended Use Environment is Home Healthcare but the Device can also be used in a Chiropractic, Physical Therapy or Pain Management Clinic. The Device uses a tactile button user interface for control of the operating system and therapy amplitude settings. The Device has a liquid crystal character display which provides information to the user and displays the current therapy settings. The Device’s therapeutic output is transmitted through the patient lead wires to the cutaneous hydrogel electrodes affixed to the user’s skin. The energy generated by the Device is conveyed, via the patient lead wires and cutaneous electrodes, through the patients skin to excite either the underlying motor nerves to elicit involuntary muscle contractions or the sensory nerves to manage pain.

Device Characteristics

Single Use
No
Prescription Use (Rx)
Yes
Over the Counter (OTC)
No
Kit
No
Combination Product
No
HCT/P
No
Contains NRL
No
Not Made with NRL
No
MRI Safety
Labeling does not contain MRI Safety Information
Direct Marking Exempt
No
PM Exempt
No
Has Serial Number
Yes
Has Lot/Batch Number
No
Has Manufacturing Date
No
Has Expiration Date
No
Has Donation ID
No

Sterilization

Is Sterile
No
Sterilization Prior Use
No

Product Codes

Code Name
LIH Interferential Current Therapy
IPF Stimulator, Muscle, Powered

GMDN Terms

Code Name
46573 Physical therapy transcutaneous neuromuscular electrical stimulation system
36737 Interferential electrical stimulation system

Identifiers

Type ID
Package 00860019001623
Primary 00860019001609

Customer Contacts

Phone
716-712-0881

Premarket Submissions

Submission Number Supplement Number
K171387 000