DIGITAL CLINICAL THERMOMETER, MODELS ACT 2030, 2038

K021612 · Actherm, Inc. · FLL · May 30, 2002 · General Hospital

Device Facts

• Record ID: K021612
• Device Name: DIGITAL CLINICAL THERMOMETER, MODELS ACT 2030, 2038
• Applicant: Actherm, Inc.
• Product Code: FLL · General Hospital
• Decision Date: May 30, 2002
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 880.2910
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The Digital Clinical thermometers, Models ACT 2030 and ACT 2038's intended use I rie Digital devices, supplied by internal power and intended to precisely measure are medical do roverature. It can be used in the measurement of oral, axillary and rectal temperature. This is the same intended use as previously cleared for the Actherm Digital Clinical Thermometers, K010238.

Device Story

Digital clinical thermometers (Models ACT 2030, ACT 2038) measure body temperature via oral, axillary, or rectal routes. Devices are internally powered, handheld units. Operation involves thermal sensing; conversion of analog signals to digital temperature readings; display of results on integrated screen. Used in clinical or home settings by patients or healthcare providers. Provides precise temperature data to assist in clinical assessment of patient health status.

Clinical Evidence

Bench testing only.

Technological Characteristics

Internally powered digital clinical thermometer. Sensing principle: thermistor-based temperature measurement. Form factor: handheld digital device with display. Connectivity: none. Sterilization: not applicable (non-sterile).

Indications for Use

Indicated for measurement of oral, axillary, and rectal body temperature in patients of all ages.

Regulatory Classification

Identification

A clinical electronic thermometer is a device used to measure the body temperature of a patient by means of a transducer coupled with an electronic signal amplification, conditioning, and display unit. The transducer may be in a detachable probe with or without a disposable cover.

Special Controls

(1) Device is not a clinical thermometer with telethermographic functions; (2) Device is not a clinical thermometer with continuous temperature measurement functions; and (3) Appropriate analysis and testing (such as that outlined in the currently FDA-recognized editions, as appropriate, of ISO 80601-2-56, “Medical electrical equipment—Part 2-56: Particular requirements for basic safety and essential performance of clinical thermometers for body temperature measurement,” or ASTM E1965, “Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature,” or ASTM E1112, “Standard Specification for Electronic Thermometer for Intermittent Determination of Patient Temperature,” or ASTM E1104, “Standard Specification for Clinical Thermometer Probe Covers and Sheaths”) must validate specifications and performance of the device.

Predicate Devices

• Actherm Digital Clinical Thermometers (K010238)

Submission Summary (Full Text)

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#### DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

# MAY 3 0 2002

Mr. Richard Hsieh Marketing & Sales Manager Actherm. Incorporated 6", No. 85 Kuan-Min 6 Road Jubei, HsinChu 302, TAIWAN

Re: K021612

Trade/Device Name: Digital Clinical Thermometers, Models ACT 2030, ACT 2038 Regulation Number: 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: II Product Code: FLL Dated: May 10, 2002 Received: May 16, 2002

Dear Mr. Hsieh:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone] . Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Timothy A. Ulatowski Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

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## Indications for Use Statement

510(k) Number (if known)

K 02 16 12

Device Name

Digital Clinical Thermometers, Models ACT 2030, ACT 2038

Indications for Use

The Digital Clinical thermometers, Models ACT 2030 and ACT 2038's intended use I rie Digital devices, supplied by internal power and intended to precisely measure are medical do roverature. It can be used in the measurement of oral, axillary and rectal temperature. This is the same intended use as previously cleared for the Actherm Digital Clinical Thermometers, K010238.

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED

### Concurrence of CDRH, Office of Device Evaluation (ODE)

V Prescription Use (Per 21 CFR 801. 109) Over-The-Counter Use

Patrizia Cascante

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices 510(k) Number -

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