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U.S. Department of Health and Human Services

Inspections, Compliance, Enforcement, and Criminal Investigations

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BTL Industries, Inc. 3/12/10


Department of Health and Human Services logoDepartment of Health and Human Services

Public Health Service
Food and Drug Administration
  10903 New Hampshire Avenue
Silver Spring MD 20993

MAR 12 2010



BTL Industries Inc.
1 Orlovets St.
Plovdiv, Bulgaria 4006

RE: BTL-5000 and BTL-6000 devices
Refer to GEN 0901317 when replying to this letter.

Dear Sir/Madam:

The Food and Drug Administration (FDA) has learned that your firm is marketing the BTL-5000 and BTL-6000 devices in the United States (U.S.) without marketing clearance or approval in violation of the Federal Food Drug, and Cosmetic Act (the Act).

The Office of Compliance (OC) in the Center for Devices and Radiological Health (CDRH) reviewed www.btlusa.com for the BTL-5000 and BTL-6000 devices. These products are devices within the meaning of section 201(h) of the Federal Food Drug and Cosmetic Act.

The BTL-5000 and BTL-6000 devices are adulterated under section 501(f)(1)(B) of the Act 21 U.S.C. 351 (f)(1)(B) because you do not ha e an approved application for premarket approval (PMA) in effect pursuant to section 515(a) of the Act 21 U.S.C. 360e(a), or an approved application for an investigational device exemption (IDE) under section 520(g) of the Act, 21 U.S.C. 360j(g). The devices are also misbranded under section 502(o) of the Act, 21 U.S.C. 352(o), because you did not notify the agency of your intent to introduce the device into commercial distribution, as required by section 510(k.) of the Act 21 U.S.C. 360(k).

For a device requiring premarket approval the notification required by section 510(k) of the Act 21 U.S.C. 360(k) is deemed satisfied when a PMA is pending before the agency. 21 C.F.R.807.81(b). The kind of information you need to submit in order to obtain approval or clearance for our device is available through the Internet at http://www.fda.gov/cdrh/devadvice/3122.html. The FDA will evaluate the information you submit and decide whether your product may be legally marketed.

Given the serious nature of the violations of the Act BTL-5000 and BTL-6000 devices manufactured by your firm are subject to refusal of admission under section 801(a) of the Act 21 U.S.C. § 381(a) in that they appear to be adulterated. As a result FDA may take steps to refuse these products known as "detention without physical examination," until these violations are corrected. In order to remove the devices from detention you should provide a written response to this Warning Letter as described below and correct the violations described in this letter. We will notify you if your response is adequate, and we may need to inspect your facility to verify that the appropriate corrections have been made.


Also, U.S. federal agencies are advised of the issuance of all Warning Letters about devices so that they may take this information into account when considering the award of contracts. Additionally, premarket approval applications for Class III devices to which the Quality System regulation deviations are reasonably related will not be approved until the violations have been corrected. Requests for Certificates to Foreign Governments will not be granted until the violations related to the subject devices have been corrected.

Please notify this office in writing within fifteen (15) working days from the date you receive this letter of the specific steps you have taken to correct the noted violations, including an explanation of how you plan to prevent these violations, or similar violations, from occurring again. Include documentation of the corrective action you have taken. If your planned corrections will occur over time, please include a timetable for implementation of those corrections. If corrective action cannot be completed within 15 working days, state the reason for the delay and the time within which the corrections will be completed. Please provide a translation of documentation not in English to facilitate our review.

Your response should be sent to:

Matthew Krueger
Acting Chief, Orthopedic and Physical
Medicine Devices Branch
Center for Devices and
Radiological Health
WO 66, Room 3676
10903 New Hampshire Avenue
Silver Spring, MD 20903-0002

If you have any questions about the content of this letter please contact: Amy Skrzypchak at phone number (301) 796-5613 or fax number (301) 847-8138.

Finally, you should know that this letter is not intended to be an all-inclusive list of the violations by your facility. It is your responsibility to ensure compliance with applicable laws and regulations administered by FDA. You should investigate and determine the causes of the violations, and take prompt actions to correct the violations and to bring your products into compliance.



Timothy A. Ulatowski
Office of Compliance
Center for Devices and
Radiological Health

Cc: Filip Donner
Official Correspondent
BTL Industries, Inc.
60 Walnut Avenue, Suite 19Gb
Clark, New Jersey 07066

BTL Industries, Inc.
161 Cleveland Way, Stevenage
Hertfordsbire, GB-HRT
United Kingdom SG1 6BU