510(k) Report

510(k) · Cleared

Cleared

Flex-MI

K221958510(k) TraditionalCleared Oct 21, 2022108-day reviewClass II21 CFR 890.5850

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Emsi, Inc. · IPF Stimulator, Muscle, Powered

Cleared on Oct 21, 2022 as substantially equivalent to K112348 (Rs Medical, 2012) after a 108-day review. Its family tree reaches back 3 generations to 2000.

Decided
Oct 21, 2022
Review
108 days
Class
Class II
Product code
IPF
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K000114 (2000). No later device cites it as a predicate yet.

  1. Root · 3 generations backK000114 RS-4M+Muscle StimulatorRs Medical · 2000
  2. 2 generations backK032652 RS-4I Muscle Stimulator FamilyRs Medical · 2003 · Recalled
  3. 1 generation backK112348 RS-4I Muscle StimulatorRs Medical · 2012
  4. This deviceK221958 Flex-MIEmsi, Inc. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K000114RS-4M+Muscle StimulatorRs Medical2000—
−2K032652RS-4I Muscle Stimulator FamilyRs Medical20031
−1K112348RS-4I Muscle StimulatorRs Medical2012—
0 (this device)K221958Flex-MIEmsi, Inc.2022—
FIG. 1 — Lineage of K221958, 2000–2022Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in IPF? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new IPF device

  1. #1 K241433 EVE Synergy (EVE-20M)score 19.7 · 25 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K112348RS-4I Muscle Stimulator
Summary page 4
…gulatory Class: II Regulation: 21 CFR 890.5850, 21 CFR 882.5890 Product Codes: IPF Powered Muscle Stimulator, LIH Interferential Current Therapy Predicate Device(s): K112348 RS-4I Plus Reference devices: K140467 Flex MT Plus, K071869 Flex IT (TENS/IF 14) Device Description: The Flex-MI is a combi…
Rs Medical2012—
†K140467Flex-MT +Emsi2014—
†K071869Tens/IF 14Emsi2008—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 22 years and passes through 2 companies; a new generation was cleared every 8.4 years on median.
  • 1 of the 3 ancestors has a recall of any class.

How does its category compare?

All IPF devices

IPF Stimulator, Muscle, Powered: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · IPF

3in 2025

2007: 82008: 62009: 72010: 42011: 42012: 42013: 102014: 42015: 32016: 72017: 52018: 52019: 42020: 92021: 152022: 72023: 92024: 72025: 32026 (partial year): 3
2007high 15 (2021) · low 3 (2015)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IPF

257in 2025

2007: 143 days median2008: 140 days median2009: 216 days median2010: 121 days median2011: 275 days median2012: 269 days median2013: 180 days median2014: 264 days median2015: 43 days median2016: 113 days median2017: 110 days median2018: 73 days median2019: 133 days median2020: 121 days median2021: 98 days median2022: 108 days median2023: 255 days median2024: 201 days median2025: 257 days median2026 (partial year): 206 days median
2007high 275 (2011) · low 43 (2015)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · IPF

1in 2023

2008: 12011: 12012: 32023: 1
2007high 3 (2012) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · IPF

8in 2025

2007: 112008: 2132009: 1502010: 142011: 252012: 162013: 62014: 192015: 112016: 82017: 22018: 32019: 102020: 132021: 32022: 42023: 82024: 52025: 8
2007high 213 (2008) · low 2 (2017)2025

MAUDE reports naming product code IPF, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20078143011
200861401213
200972160150
20104121014
20114275125
20124269316
20131018006
20144264019
2015343011
2016711308
2017511002
201857303
20194133010
20209121013
2021159803
2022710804
2023925518
2024720105
2025325708
202632060—

What is it indicated for?

Interferential Stimulation

> Symptomatic relief of chronic intractable pain

> Adjunctive treatment for the management of post-traumatic or post-surgical pain

EMS (Electrical Muscle Stimulation)

> Relaxation of muscle spasm

> Increasing local blood circulation

> Muscle re-education

> Prevention or retardation of disuse atrophy

> Prevention of venous thrombosis of the calf muscles immediately after surgery

> Maintaining or increase range of motion

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221958: Flex-MI.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221958

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026