Felix NeuroAI System
K250096Fasikl Incorporated · cleared 2025-07-01 · product code QBC · Neurology
Premarket evidence — what FDA accepted
source quote (p.5)
“Fasikl's Felix™ NeuroAI™ Wristband is a wrist-worn, noninvasive, transcutaneous neurostimulation system. It is intended to be used by adult patients with essential tremor (ET) on a daily basis to aid in tremor-related functional limitations in the upper limbs. The system continuously monitors tremor frequency and tremor amplitude and automatically adjusts stimulation settings. The Felix system consists of the following components: Felix wristband (NeuroAI™ stimulator with integrated strap and detachable connector band), disposable electrode band, wireless charger, and smartphone application. The sole purpose of the AI algorithm is to control the stimulation state of the Felix device. It is NOT intended to be used for any diagnostic purposes and has no interpretable outputs. It automatically determines whether to turn stimulation on or off and at what stimulation intensity, based on measurements of the effects of stimulation on the severity of hand tremor (as assessed by the built-in accelerometer).”
source quote (p.7)
“The sole purpose of the AI algorithm is to control the stimulation state of the Felix device. It is NOT intended to be used for any diagnostic purposes and has no interpretable outputs. It automatically determines whether to turn stimulation on or off and at what stimulation intensity, based on measurements of the effects of stimulation on the severity of hand tremor (as assessed by the built-in accelerometer).”
source quote (p.5)
“The system continuously monitors tremor frequency and tremor amplitude and automatically adjusts stimulation settings. In Artificial Intelligence (AI) closed-loop stimulation mode, the app will communicate with a secure cloud computing services for AI to determine the best stimulation setting for the user continuously and control the stimulator accordingly.”
source quote (p.11)
“Cybersecurity testing was provided to support the use of Smartphone.”
Validation studies (2)
Prospective clinical
n=125 patients · 12 site(s)
endpoints: Change in TETRAS modified Activities of Daily Living (mADL) score from baseline pre-stimulation to Day 90, Superiority of Felix versus Sham stimulation.; Change in TETRAS mADL score from baseline pre-stimulation to 14 days, 30 days, and 60 days.; TETRAS Performance Subscale (items 1, 4 and 8) at baseline pre-stimulation, baseline post-stimulation, 30 days, 90 days; TETRAS Performance Subscale (items 6 and 7) at baseline pre-stimulation, baseline post-stimulation, 14 days, 30 days, 60 days, 90 days.; TETRAS Dominant Hand Score at baseline pre-stimulation, baseline post-stimulation, 30 days, 90 days. Defined as the total scores of TETRAS Performance Subscale for the dominant hand (items 4, 6, 7 and 8); Clinical Global Impression of Improvement (CGI-I) baseline post-stimulation, 30 days, 90 days; Patient Global Impression of Improvement (PGI-I) at baseline post-stimulation, 14 days, 30 days, 60 days, 90 days; Quality of Life in Essential Tremor Questionnaire (QUEST) at baseline pre-stimulation, 90 days; Adverse events (AEs) and serious adverse events (SAEs); Adverse device effects (ADEs) and serious adverse device effects (SADEs); Unanticipated adverse device effect (UADE) and unanticipated serious adverse device effect (USADE)
standards: IEC 60601-1-10 Edition 1.2 2020-07: General requirements for basic safety and essential performance – Collateral Standard: Requirements for the development of physiologic closed-loop controllers., IEC 60601-1: Medical electrical equipment - Part 1: General requirements for basic safety and essential performance, IEC 60601-1-2: Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests, IEC 60601-1-11: Medical electrical equipment - Part 1-11: General requirements for basic safety and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment, IEC 60601-2-10: Particular requirements for the basic safety and essential performance of nerve and muscle stimulators, IEC 62133-2: Secondary cells and batteries containing alkaline or other non-acid electrolytes - Safety requirements for portable sealed secondary cells and for batteries made from them for use in portable applications - Part 2: Lithium systems, IEEE/ANSI USEMCSC C63.27-2021: American National Standard for Evaluation of Wireless Coexistence., International Standard ISO 10993-1, Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process
Bench
sample size not stated
endpoints: Test the pulse width, amplitude, rising time, falling time, pulse interval, current adjustment step value, and charge balancing, and observe whether the waveform meets the design input requirements.; Verify that the adhesion and impedance performance of the Electrode band meets the requirements specified by FASIKL.; The objective of the test is to measure the current distribution on the surface of the gel electrodes for the Felix-G1 watch device; Test the accuracy of the vibration frequency and acceleration values recorded by the Felix device to meet the design requirements.
standards: IEC 60601-1-10 Edition 1.2 2020-07: General requirements for basic safety and essential performance – Collateral Standard: Requirements for the development of physiologic closed-loop controllers., IEC 60601-1: Medical electrical equipment - Part 1: General requirements for basic safety and essential performance, IEC 60601-1-2: Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests, IEC 60601-1-11: Medical electrical equipment - Part 1-11: General requirements for basic safety and essential performance - Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment, IEC 60601-2-10: Particular requirements for the basic safety and essential performance of nerve and muscle stimulators, IEC 62133-2: Secondary cells and batteries containing alkaline or other non-acid electrolytes - Safety requirements for portable sealed secondary cells and for batteries made from them for use in portable applications - Part 2: Lithium systems, IEEE/ANSI USEMCSC C63.27-2021: American National Standard for Evaluation of Wireless Coexistence., International Standard ISO 10993-1, Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process
Reported performance (0 observations)
FDA source did not state a quantitative performance metric — non-reporting is itself the signal.
Each value carries its own analysis unit and task — never compare or pool across devices. Source: 510(k) summary PDF.
Predicate network
Postmarket — what happened after clearance
Recall and MAUDE counts are product-code-level (reports aren't reliably attributable to one device); a recall is shown as device-attributed only when the recall record itself lists this clearance number. Signals are descriptive observables with sources — never a judgment that the device is unsafe or drifting. Snapshot 2026-07-08.
Reimbursement — how devices like this got paid
Not yet tracked — no payment pathway indexed for this clearance (the reimbursement corpus is a growing seed set).
Applicable FDA guidance — what the submission is measured against
FDA guidance documents and guiding principles applicable to 510(k) AI/ML devices in the Neurology panel. A curated reference index, not legal or regulatory advice — each item states its own status, and a draft is never binding.
- Final guidance2026-01Clinical Decision Support Software
Clinical decision support · SaMD (general)
New final guidance issued Jan 2026, superseding the Sept 2022 version; narrows the device-CDS scope. Applies to software that informs clinical management.
- Final guidance2026-01General Wellness: Policy for Low Risk Devices
SaMD (general) · Clinical decision support
Revised final (Jan 2026); now addresses noninvasive products estimating physiologic parameters (SpO2, BP, glucose). Reshapes the device / non-device line for AI wellness features.
- Final guidance2025-09Computer Software Assurance for Production and Quality Management System Software
SaMD (general) · Postmarket
Final (Sept 2025). Covers software used in production/QMS (incl. ML development-pipeline tooling), superseding Section 6 of the 2002 GPSV — not device software functions themselves.
- Final guidance2025-06Cybersecurity in Medical Devices: Quality Management System Considerations and Content of Premarket Submissions
Cybersecurity · Software premarket content
Reissued June 2025 (retitled 'Quality Management System', was Sept 2023 'Quality System'); adds coverage of FD&C Act §524B cyber devices.
- Final guidance2024-12Marketing Submission Recommendations for a Predetermined Change Control Plan for Artificial Intelligence-Enabled Device Software Functions
Predetermined Change Control Plan · AI/ML lifecycle · Software premarket content
Final (Dec 2024). Supersedes the April 2023 AI/ML PCCP draft.
- Final guidance2023-10Electronic Submission Template for Medical Device 510(k) Submissions
Software premarket content
eSTAR has been mandatory for 510(k)s since Oct 2023 — operationally unavoidable, though not AI-specific.
- Final guidance2023-08Off-The-Shelf Software Use in Medical Devices
Software premarket content · SaMD (general)
Final (Aug 2023). Applies when a device incorporates off-the-shelf software components (common in ML stacks).
- Final guidance2023-06Content of Premarket Submissions for Device Software Functions
Software premarket content · SaMD (general)
Final (June 2023); replaced the May 2005 'Software Contained in Medical Devices' guidance. Documentation level drives the software content of the submission.
- Final guidance2022-09Policy for Device Software Functions and Mobile Medical Applications
SaMD (general) · Clinical decision support
Current version Sept 2022. Frames which software functions FDA regulates as devices.
- Final guidance2021-10De Novo Classification Process (Evaluation of Automatic Class III Designation)
De Novo pathway
Final (Oct 2021), issued with the De Novo final rule. Most relevant to first-of-a-kind devices without a predicate (DEN-numbered clearances).
- Final guidance2016-12Postmarket Management of Cybersecurity in Medical Devices
Cybersecurity · Postmarket
- Final guidance2002-01General Principles of Software Validation
SaMD (general) · Software premarket content
Still active except Section 6 (superseded Sept 2025 by the Computer Software Assurance final guidance).
- Draft guidance2025-01Artificial Intelligence-Enabled Device Software Functions: Lifecycle Management and Marketing Submission Recommendations
AI/ML lifecycle · Software premarket content · Transparency
Draft as of July 2026 (published Jan 2025); finalization is on CDRH's FY2026 agenda but not yet published. Treat as FDA's stated direction, not a binding expectation.
- Draft guidance2024-08Predetermined Change Control Plans for Medical Devices
Predetermined Change Control Plan · Postmarket
Draft (Aug 2024) extending PCCPs beyond AI to all devices under FD&C §515C; not final as of July 2026.
- Guiding principles2024-06Transparency for Machine Learning-Enabled Medical Devices: Guiding Principles
Transparency · AI/ML lifecycle
- Guiding principles2023-10Predetermined Change Control Plans for Machine Learning-Enabled Medical Devices: Guiding Principles
Predetermined Change Control Plan · AI/ML lifecycle
FDA/Health Canada/MHRA joint principles (Oct 2023); companion to the GMLP and Transparency principles.
- Guiding principles2021-10Good Machine Learning Practice for Medical Device Development: Guiding Principles
AI/ML lifecycle · SaMD (general)
FDA/Health Canada/MHRA joint principles (Oct 2021). Foundational, not a binding guidance; IMDRF issued a related GMLP document Jan 2025.
Applicability is derived from the device's FDA advisory panel and pathway — cross-cutting guidances apply to every AI/ML device; panel-specific ones are flagged. Titles, dates, and links verified against fda.gov as of July 2026.