Withings Thermo (Model SCT01)

K160544 · Withings · FLL · Jun 17, 2016 · General Hospital

Device Facts

• Record ID: K160544
• Device Name: Withings Thermo (Model SCT01)
• Applicant: Withings
• Product Code: FLL · General Hospital
• Decision Date: Jun 17, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.2910
• Device Class: Class 2
• Attributes: Pediatric

Indications for Use

The Withings Thermo (Model SCT01) is a non-sterile, reusable clinical thermometer intended for the intermittent determination of human body temperature in a touch mode over the temporal artery as the measurement site on people of all ages.

Device Story

Hand-held, battery-powered infrared thermometer; measures natural infrared energy emitted from skin surface over temporal artery; converts to oral equivalent temperature. Uses thermopile sensor, thermistor-like pin junction for ambient readings, and silicon lens. Features 20x5 LED matrix display; includes Wi-Fi/Bluetooth module for optional smartphone app data logging. Used in home healthcare environment by patients of all ages. Wireless communication is inactive during temperature measurement. Healthcare providers or patients view results on device display or via app. Provides body temperature data to assist in clinical decision-making; benefits patient through non-invasive, intermittent temperature monitoring.

Clinical Evidence

Clinical testing conducted per ASTM 1965:2009 to compare accuracy of Withings Thermo against predicate Braun NTF3000US. Results demonstrated that temperature measurement deviation between devices is within acceptable ranges defined by ISO 80601-2-56. Bench testing included compliance with ISO 80601-2-56, ANSI/AAMI ES 60601-1, IEC 60601-1-2, IEC 60601-1-11, and ISO 10993 series for biocompatibility.

Technological Characteristics

Infrared thermometer; thermopile sensor; thermistor-like pin junction; silicon lens. 20x5 LED matrix display. Powered by 2 AAA batteries. Connectivity: Wi-Fi/Bluetooth (inactive during measurement). Dimensions: 116mm x 33.2mm; Weight: 75g. Standards: ISO 80601-2-56, ANSI/AAMI ES 60601-1, IEC 60601-1-2, IEC 60601-1-11, ISO 10993-1/5/10.

Indications for Use

Indicated for intermittent determination of human body temperature in people of all ages via touch mode over the temporal artery.

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

• No Touch + Forehead Thermometer (Model NTF3000US) (K134043)

Submission Summary (Full Text)

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

June 17, 2016

Withings % Mr. Tony Chang Wincent Consultant Co., Ltd. No. 15. Alley 71. Cheping 1st St., Beitun District Taichung City 406, Taiwan ROC

Re: K160544

Trade/Device Name: Withings Thermo (Model SCT01) Regulation Number: 21 CFR 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: II Product Code: FLL Dated: May 9, 2016 Received: May 16, 2016

Dear Mr. Chang:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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): medical device reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Image /page/1/Picture/8 description: The image shows a signature with the name "Tina Kiang" written in a simple, sans-serif font. Below the name, there is a signature mark followed by the letter "S". In the background, there is a faint watermark of the FDA logo.

for Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital. Respiratory. Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known) K160544

Device Name Withings Thermo (Model SCT01)

Indications for Use (Describe)

The Withings Thermo (Model SCT01) is a non-sterile, reusable clinical thermometer intended for the intermittent determination of human body temperature in a touch mode over the measurement site on people of all ages.

| Type of Use (Select one or both, as applicable) |
|-------------------------------------------------|
|-------------------------------------------------|

Prescription Use (Part 21 CFR 801 Subpart D)

X Over-The-Counter Use (21 CFR 801 Subpart C)

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# K160544 510(k) SUMMARY

| Manufacturer's Name: | Withings<br>2 Rue Maurice Hartmann<br>Issy-les-moulineaux, France 92130 |
|------------------------------------|-------------------------------------------------------------------------------------|
| Corresponding Official: | Xavier Debreuil |
| Telephone Number: | (3)360-897-9794 |
| E-mail: | [e-mail] |
| Preparation Date: | June 15, 2016 |
| Trade Name: | Withings Thermo (Model SCT01) |
| Common or Usual<br>Name: | Withings Thermo (Model SCT01) |
| Classification Name and<br>Number: | Clinical Electronic Thermometer<br>21 CFR 880.2910<br>Class II<br>Product Code: FLL |
| Predicate Device: | K134043<br>No Touch + Forehead Thermometer (Model<br>NTF3000US) |

### Device Description

The Withings Thermo (Model SCT01) is a hand-held, battery powered device designed to measure human body temperature. The SCT01 device is an infrared thermometer that, when placed in contact with the user's skin over the temporal artery, measures the natural infrared energy emitted from the surface of the skin and convert it to an oral equivalent temperature.

The Withings Thermo (Model SCT01) thermometer uses a thermopile sensor for the target reading, a thermistor-like pin junction for ambient temperature readings, and a silicon lens to focus the radiated energy on the thermopile sensor. It embeds a 20x5 LEDs matrix for display of results, and also a Wi-Fi/ Bluetooth module for optional usage of a smartphone application to log results

#### Intended Use

The Withings Thermo (Model SCT01) is a non-sterile, reusable clinical thermometer intended for the intermittent determination of human body temperature in a touch mode over the temporal artery as the measurement site on people of all ages.

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# Substantial Equivalence Discussion

| | Subject Device: Withings Thermo | Predicate Device: No Touch+Forehead thermometer |
|----------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) Number | K160544 | K134043 |
| Classification | Clinical Electronic Thermometer<br>21 CFR 880.2910<br>Class II<br>Product Code: FLL | Clinical Electronic Thermometer<br>21 CFR 880.2910<br>Class II<br>Product Code: FLL |
| Intended Use | The Withings Thermo (Model<br>SCT01) is a non-sterile, reusable<br>clinical thermometer intended for the<br>intermittent determination of human<br>body temperature in a touch mode<br>over the temporal artery as the<br>measurement site on people of all<br>ages. | The No Touch + Forehead Thermometer<br>(Model NTF3000US) is a non-sterile,<br>reusable clinical thermometer intended<br>for the intermittent determination of<br>human body temperature in a touch and<br>no touch on the centre of the forehead as<br>the measurement site on people of all<br>ages. |
| Technological<br>Characteristics | Infrared sensor | Infrared sensor |
| Measuring Method | Detection of infrared energy and use<br>of predictive algorithms to estimate<br>the body temperature | Detection of infrared energy and use of<br>predictive algorithms to estimate the<br>body temperature |
| Resolution | 0.1°C / 0.1°F | 0.1°C / 0.1°F |
| Clinical Accuracy | ± 0.2°C on 35.5°C – 42.0°C range<br>(± 0.4°F on 95.9°F – 107.6°F range)<br>± 0.3°C (± 0.5°F) outside this range | ± 0.2°C on 35.5°C – 42.0°C range<br>(± 0.4°F on 95.9°F – 107.6°F range)<br>± 0.3°C (± 0.5°F) outside this range |
| Temperature Display | Liquid Crystal Display; 3 digits (°C)<br>and 4 digits (°F) | Liquid Crystal Display, 4 digits plus<br>special icons |
| Measurement Site | Forehead: temporal artery | Forehead: centre |
| Operating Conditions<br>of use (ambient<br>temperature/<br>humidity) | 10°C – 40°C (50 °F – 104 °F)<br>15% ≤ RH ≤ 95% | 15 °C - 40 °C<br>{59 °F - 104 °F} |
| Storage Conditions<br>(temperature/<br>humidity/air pressure) | -25°C (-13°F) to +55°C (131°F)<br>15% ≤ RH ≤ 95%<br>200 hPa ≤ RH ≤ 1060 hPa | -25 °C(-13 °F) to 60 °C(140 °F)<br>15% ≤ RH ≤ 95%<br>700 hPa ≤ RH ≤ 1060 hPa |
| Measuring Range | 35°C - 43.2 °C (95°F –109.8°F) | 34.4 °C - 42.2 °C (93.9 °F -108 °F) |
| Power Requirements | 2 AAA Batteries | 2 AA Batteries |
| Wireless<br>Communication | Bluetooth, Wi-Fi (never active during<br>body temperature determination) | none |
| Display | LED screen display | Liquid Crystal Display |
| Battery Life | Up to 2 years | Up to 1000 measurements |
| Automatic Switch Off | 30 seconds | 60 seconds |
| Size | L = 116 mm (4.57 in.) x<br>Diameter=33.2mm (1.31 in.) | L = 148 mm (5.83 in.) x<br>Diameter=50mm(1.97in) |
| Weight | Approx. 75g (battery included) –<br>0.165lbs. | 3.51oz. (with battery), 2.72oz. (w/o<br>battery) |
| Life Cycle | 5 years | 3 years |
| Accessories | Protective scanner cap, | Protective scanner cap, |

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### Performance Testing

According to the device features, the testing for the following standards were considered required for the device:

- . The International Standard ISO 80601-2-56: 2012; Medical Electrical equipment - Part 2-56: Particular requirement for the safety and essential performance of clinical thermometer for body temperatures measurement.
- The International Standard ANSVAAMI ES 60601-1: 2005 - Safety of medical device; Electrical equipment - General safety.
- The International Standard IEC 60601-1-2: 2007; Medical Electrical equipment - Safety -Electromagnetic Compatibility.
- The International Standard IEC 60601-1-11: 2010: Medical Electrical equipment Part 1-11: . general requirements for basic safety and essential performance - collateral standard: requirement for medical electrical equipment and medical electrical system used in the home healthcare environment.
- International Standard ISO 10993-1: 2009; Biological evaluation of medical devices - Part 1: Guidance on selection of tests.
- International standard ISO 10993-5:2009 Biological evaluation of medical devices – Part 5: Tests for in vitro cytotoxicity
- . International standard EN/ISO 10993-10:2010 Biological evaluation of medical devices – Part 10: Tests for irritation and delayed-type hypersensitivity

In addition to the compliance of voluntary standards, the software verification has been carried out according to the FDA software guidance.

The Compliance to applicable voluntary standards as above mentioned indicates that the new device in this submission used the same standards as that of predicate device. Therefore, we consider that the compliance of standards and software validation included in our submission is adequate for the determination of substantial equivalence.

### Clinical Tests

The clinical testing was conducted for the accuracy of body temperature measurement between Withings Thermo (Model SCT01) and Braun NTF3000US according to the reguirement set out on ASTM 1965: 2009 standard. The test result indicates that the deviation of temperature measurement deviation between Withings SCT01 and Braun NTF3000US is within acceptable range of the performance requirement of ISO 80601-2-56.

### Discussion of Differences

The indications for use of the predicate device indicate the location of contact as the center of the forehead whereas the subject device specifies the temporal artery. The subject device has been validated for this more specified location through performance testing to be substantially equivalent to a "forehead" contacting thermometer.

The technological characteristics and operating principles of Withings Thermo (SCT01) thermometer are essentially similar to the predicate device. Especially, they have same intended use, same measuring method (detection of infrared energy), same sensor type, and similar clinical accuracy. They also have

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close to similar operating range, measurement range and storage conditions. The most notable differences are:

- . Measurement over the temporal artery uses the exact same principle and technology as measurement over the center of the forehead, and are based on similar underlying physiological characteristics. The temporal artery is a well-known candidate site for temperature measurement, and this difference only results in an adjustment of the predictive algorithm parameters. This was validated through the clinical testing.
- The wireless communication module, as documented in the software description, will never be active while the device is performing or displaying a measurement. As a result, the optional app display function is an additional feature that does not interfere in anyway with the functions, safety and usage of the SCT01 device as a standalone thermometer. This was validated through performance testing, including conformance with the relevant ISO Standards and software validation.

On the basis of the comparison between the two devices and discussion of their differences as well as the discussion of clinical and non-clinical test validation, we demonstrate that the Withings SCT01 and Braun NTF3000US are substantially equivalent.

### Conclusions

The Withings Thermo (Model SCT01)has the same intended use and the similar technological characteristics as the cleared devices. Moreover, verification and validation tests contained in this submission demonstrate that the difference in the submitted models do not raise new questions of safety and effectiveness as that of cleared device.

In the other words, those engineering difference do not: (1) affect the intended use or (2) alter the fundamental scientific technology of the device. Therefore, we conclude that the Withings Thermo (Model SCT01) and Braun No Touch + Forehead Thermometer NTF3000US are substantially equivalent.