MICROLIFE DIGITAL INFRARED EAR THERMOMETER, MODELS IR1DC1/V971, IR1DG1/SKU4289, IR1DH1/SKU4290

K033818 · Microlife Intellectual Property GmbH · FLL · Jan 8, 2004 · General Hospital

Device Facts

• Record ID: K033818
• Device Name: MICROLIFE DIGITAL INFRARED EAR THERMOMETER, MODELS IR1DC1/V971, IR1DG1/SKU4289, IR1DH1/SKU4290
• Applicant: Microlife Intellectual Property GmbH
• Product Code: FLL · General Hospital
• Decision Date: Jan 8, 2004
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 880.2910
• Device Class: Class 2
• Attributes: Pediatric

Intended Use

The device is an electronic clinical thermometer using an infrared sensor to detect body temperature from the auditory canal in the neonatal, pediatric and adult population used in the home setting.

Device Story

Electronic infrared ear thermometer; uses thermopile sensor to detect thermal radiation from tympanic membrane and auditory canal. Device components include thermopile sensor, ASIC, E2 PROM IC, LCD with backlight, and buzzer. Operated by patient or caregiver in home setting. Provides 1-second temperature measurement; includes 12-set memory recall and fever alarm function. Output displayed on LCD; assists users in monitoring body temperature. Modifications from predicate include external shape, PCB layout, user interface ergonomics, and added memory/alarm features; core temperature measurement algorithm and software remain unchanged.

Clinical Evidence

No clinical studies conducted. Substantial equivalence supported by bench testing, including accuracy performance, reliability, and EMC testing. Original device clinical data remains applicable as core technology and measurement algorithms are unchanged.

Technological Characteristics

Infrared thermopile sensor; ASIC and E2 PROM IC processing. Standards: ASTM E1112, ASTM E1104, ASTM E1965-98, IEC 60601-1, IEC 60601-1-2. Features: 1-second measurement mode, 12-set memory recall, fever alarm, LCD with backlight. Powered by internal electronics.

Indications for Use

Indicated for neonatal, pediatric, and adult populations for measuring body temperature via the auditory canal in a home setting.

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

• Microlife Digital Infrared Ear Thermometer, Model IR1DE1 (K020725)

Submission Summary (Full Text)

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EXHIBIT #1

# 510(K) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

The assigned 5l0(k) number is:K033818

#### 1. Submitter's Identification:

Microlife Intellectual Property GmbH, Switzerland Max Schmidheiny-Strasse 201 9435 Heerbrugg / Switzerland

Date Summary Prepared: December 8, 2003

Contact: Mr. Gerhard Frick

#### 2. Name of the Device(s):

Microlife Digital Infrared Ear Thermometer, Models IR1DC1/V971, IR1DG1/SKU4289 and IR1DH1/SKU4290

# 3. Information for the 510(k) Cleared Device (Predicate Device):

Microlife Digital Infrared Ear Thermometer, Model IR1DE1, K#020725

### Device Description: 4.

The Microlife Digital Infrared Ear Thermometer, Models IR1DC1/V971, IR1DG1/SKU4289 and IR1DH1/SKU4290 are electronic thermometers using an infrared sensor (thermopile) to detect body temperature from the auditory canal. Their operation is based on measuring the natural thermal radiation emanating from the tympanic membrane and the adjacent surfaces.

The Microlife Digital Infrared Ear Thermometer, consists mainly of five parts:

- IR Thermopile Sensor a)
- b) ASIC
- C) E2 PROM IC

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- LCD and Blacklight d)
- Kev "2. Buzzer" 1 e)

# 5. Intended Use:

The device is an electronic clinical thermometer using an infrared sensor to detect body temperature from the auditory canal in the neonatal, pediatric and adult population used in the home setting.

# Comparison to the 510(k) Cleared Device (Predicate Device): 6.

The Microlife Digital Infrared Ear Thermometers, Models IR1DC1/V971, IR1DG1/SKU4289 and IR1DH1/SKU4290 are substantially equivalent to the original Microlife Digital Ear Thermometer, Model IR1DE1.

The new models IR1DC1/V971, IR1DG1/SKU4289 and IR1DH1/SKU4290 have the same intended use and are similar in design to the 510(k) cleared device.

The IR1DC1/V971, IR1DG1/SKU4289 and IR1DH1/SKU4290 are identical in functionality and performance with the only difference being the external shape of the devices, and PCB layout of the devices. The modifications to our original 510(k) cleared device, Model IR1DE1, include performance specifications, ergonomics of the user interface, dimensional specifications 12 sets memory recall and fever alarm function. The working environmental specification 5-400, temperature measurements algorithm and its software codes of the modified devices remains unchanged.

The fundamental scientific technology of the modified device remains the same as that of the 510(k) cleared device. The Microlife devices (IR1DC1/V971, IR1DG1/SKU4289 and IR1DH1/SKU4290) works with only a 1-second called a "normal" mode

# Discussion of Non-Clinical Tests Performed for Determination of 7. Substantial Equivalence are as follows:

Compliance to applicable voluntary standards includes ASTM E1112, ASTM E1104 and ASTM E-1965-98, as well as IEC 60601-1 and IEC 60601-1-2 requirements.

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Guidance documents included the "FDA Guidance On The Content of Premarket Notification (510(k)) Submissions for Clinical Electronic Thermometers", "Deciding When to Submit a 510(k) for a Change to An Existing Devices", and, "The New 510(k) Paradigm: Alternate Approaches to Demonstrating Substantial Equivalence in Premarket Notifications".

#### Discussion of Clinical Tests Performed: 8.

Controlled human clinical studies were not conducted for the Microlife Digital Infrared Ear Thermometer modified devices, as well as no low power test as clinical studies/low power testing were conducted for the original unmodified device and remain unchanged. Accuracy performance, reliability and EMC testing is only applicable.

#### 9. Conclusions:

The Microlife Digital Infrared Ear Thermometer, Models IR1DC1/V971, IR1DG1/SKU4289 and IR1DH1/SKU4290 have the same intended use and technological characteristics as the unmodified model IR1DE1. Moreover, verification and validation tests contained in this submission demonstrate that the modified portions maintained its original safety and effectiveness. These engineering changes do not: (1) affect the intended use or (2) alter the fundamental scientific technology of the device.

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Public Health Service

Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three wing-like shapes. The bird is positioned within a circular border. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the upper portion of the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN - 8 2004

Microlife Intellectual Property, GmbH C/O Ms. Susan D. Goldstein-Falk Official Correspondent MDI Consultants, Incorporated 55 Northern Boulevard, Suite 200 Great Neck, New York 11021

Rc: K033818

Trade/Device Name: Digital Infrared Ear Thermometer, Model IR1DC1/V971, IR1DG1/SKU4289 and IR1DH1/SKU4290 Regulation Number: 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: II Product Code: FLL Dated: December 8, 2003 Received: December 11, 2003

Dear Ms. Goldstein-Falk:

We have reviewed your Scction 510(k) promarket 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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Page 2 -Mr. Lehn

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 administcred 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 !abeling regulation (21 CFR Part 801), please contact the Office of Compliance at [phone]. Also, plcase note the regulation contitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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,

Clas

Chiu Lin. Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Exhibit B

Page 1 of 1

K-033818 510(k) Number (if known): ___

Device Name: Digital Infrared Ear Thermometer, Model IR1DC1/V971, "--IR1DG1/SKU4289 and IR1DH1/SKU4290

Indications For Use:

The device is an digital infrared Ear Thermometer using an infrared sensor to detect body temperature from the auditory canal in the neonatal, pediatric and adult population used in the home setting.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

OTC - ✓

Viola Hubbard, Interim Bureau Chief

General Hospital. Division of Anesthesiolog Infection Control, Dental

510(k) Number: K033818