The Ava Fertility Tracker is intended to measure and display physiological parameters (body temperature, resting pulse rate, heart rate variability, and breathing rate) as an aid in ovulation prediction to facilitate conception (not to be used for contraception).
Device Story
Ava Fertility Tracker is a wrist-worn sensor bracelet; mobile application; backend server. Bracelet tracks skin temperature, PPG (IBI, HR, HRV, breathing rate), and movement/sleep via accelerometer during sleep. User syncs bracelet to mobile app via Bluetooth; app transmits raw data to backend server. Algorithms on server process physiological parameters to predict ovulation and fertile window. Results displayed in mobile app. Used by women at home to track fertility; supports 'Trying to Conceive', 'Cycle Tracking', and 'Pregnancy' modes. Provides daily summaries of physiological metrics. Helps users identify fertile window to facilitate conception.
Clinical Evidence
Prospective single-center study (n=61 women, 154 cycles). Compared Ava Fertility Tracker to urinary LH tests (reference) and Lady-Comp (predicate). Primary endpoint: error in ovulation day detection. Results: mean error 0.315 days (95% CI -0.029 to 0.698), within ±2-day equivalence bounds (p<0.001). Secondary endpoint: Ava detected significantly more post-ovulation temperature shifts than Lady-Comp (p<0.001).
Technological Characteristics
Wrist-worn sensor bracelet with temperature sensor, PPG sensor, and accelerometer. Connectivity: Bluetooth Low Energy (BLE) to smartphone, Wi-Fi/cellular to backend server. Power: Rechargeable battery. Software: Embedded firmware and server-side algorithms. Biocompatibility per ISO 10993-5/10. Electrical safety per AAMI/ANSI ES 60601-1 and IEC 60601-1-11. EMC per IEC 60601-1-2.
Indications for Use
Indicated for women aged 18-45 seeking to facilitate conception. Not for use as a contraceptive. Contraindicated for women on hormonal birth control, breastfeeding, taking medications affecting the menstrual cycle, or those with sleep disorders or health issues impacting cycle regularity.
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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the seal of the Department of Health & Human Services. To the right of the seal is the FDA logo, which consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and the word "ADMINISTRATION" in a smaller font size below.
January 15, 2021
Ava AG Blathnaid Feldman Director Quality and Regulatory Affairs Gustrasse 73 Zürich 8055 Switzerland
Re: K200163 Trade/Device Name: Ava Fertility Tracker Regulation Number: None Regulation Name: None Regulatory Class: Unclassified Product Code: LHD Dated: December 4, 2020 Received: December 7, 2020
Dear Blathnaid Feldman:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.
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.
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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 device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatoryinformation/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
For Monica D. Garcia, Ph.D. Assistant Director DHT3B: Division of Reproductive, Gynecology and Urology Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known) K200163
Device Name Ava Fertility Tracker
Indications for Use (Describe)
The Ava Fertility Tracker is intended to measure and display physiological parameters (body temperature, resting pulse rate, heart rate variability, and breathing rate) as an aid in ovulation prediction to facilitate conception (not to be used for contraception).
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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# avaco
# 510(k) Summary K200163 Ava Fertility Tracker
| Date Prepared | January 14, 2020 |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Applicant | Ava AG<br>Gutstrasse 73<br>CH-8055 Zurich<br>Switzerland |
| Contact Person | Agata Sroka, Senior Regulatory Affairs Manager<br>Agata.Sroka@avawomen.com |
| US Contact Person | Stephen La Barbera, VP Marketing & Sales<br>Ava Science Inc.<br>77 Geary Street, 5th Floor<br>San Francisco, CA 94108<br>USA<br>Stephen.LaBarbera@avawomen.com |
| Proprietary Name | Ava Fertility Tracker |
| Common Name | Proceptive Fertility Tracker |
| Device Classification | Unclassified |
| Product Code | LHD (Device, Fertility Diagnostic, Proceptive) |
| Predicate Device | Lady-Comp® USA (K050094)<br>The predicate device has not been subject to a design-related recall. |
| Device Description | The Ava Fertility Tracker aids women in ovulation prediction and to facilitate<br>conception. The Ava Fertility Tracker is a non-invasive device made up of the<br>following components:<br>The Ava bracelet incorporating hardware with electronics and embedded software A mobile application running on smartphones (iOS and Android) A backend server software, including algorithms running on remote servers The Ava bracelet is worn by women at night and tracks the following physiological<br>parameters with built-in sensors:<br>Temperature sensor - provides information on skin temperature Photoplethysmography (PPG) sensor – measures the interbeat interval (IBI)<br>providing information on pulse rate (HR), heart rate variability (HRV),<br>breathing rate (BR) and perfusion. Only HR, HRV, and BR are used by the<br>algorithms for prediction of the fertile window. Perfusion information is used<br>to assess the quality of the PPG sensor data. |
Ava AG Gutstrasse 73 8055 Zürich Switzerland
Ava Science Inc. 77 Geary Street – 5th Floo San Francisco, CA 94108 United States
{4}------------------------------------------------
- Accelerometer provides information on movement and sleep duration ● and phases
The user synchronizes the bracelet to the mobile app each morning. The mobile app receives the raw datasets via Bluetooth Low Energy (BLE) and transfers this data to the backend server. The algorithm is run on the physiological parameters collected and the prediction of ovulation and the fertile window is determined. This information is transferred and displayed in the mobile app. The mobile app will also display a single mean value for HR, temperature, HRV ratio, BR, and sleep duration from the prior night.
The mobile application has three modes:
- . Trying to Conceive Mode - The application shows the user the predicted day of ovulation plus five predicted fertile days leading up to the predicted day of ovulation. Users receive the prior night summary of measured parameters displayed in graphs. Users can track additional information on their cycle, such as sexual intercourse or cervical fluid (this information does not feed into the algorithm).
- Cycle Tracking Mode– For users not wanting to conceive but wanting to track . their cycle. These users receive the same information provided to Trying to Conceive Mode users.
- . Pregnancy Mode - Users receive the prior night summary of measured parameters displayed on graphs. They can also track additional information as relates to their pregnancy, such as their weight or their daily water intake. For each week of their pregnancy, a different piece of informational content gets displayed in the application, such as typical height and weight of a baby at this stage of their pregnancy.
- Indications for The Ava Fertility Tracker is intended to measure and display physiological Use parameters (body temperature, resting pulse rate, heart rate variability, and breathing rate) as an aid in ovulation prediction to facilitate conception (not to be used for contraception).
Comparison of The table below includes a comparison of intended use and technological characteristics of the subject and predicate devices: Subject and Predicate Device Intended Use and Technological Characteristics
| Parameter | Subject Device<br>K200163<br>Ava Fertility Tracker | Predicate Device<br>K050094<br>Lady-Comp<br>Fertility Monitor | Comparison |
|------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | The Ava Fertility<br>Tracker is intended to<br>measure and<br>display physiological<br>parameters (body<br>temperature, resting<br>pulse rate, heart rate<br>variability, and | Lady-Comp USA<br>is intended for<br>measuring and<br>recording basal<br>body temperature<br>(BBT) as an aid in<br>ovulation<br>prediction to<br>facilitate | Although there are<br>differences in the<br>indications for use<br>statements, the intended<br>uses for both devices are<br>the same (i.e., an aid in<br>ovulation prediction and to<br>facilitate conception). |
| | breathing rate) as an<br>aid in ovulation<br>prediction to facilitate<br>conception (not to be<br>used for<br>contraception). | conception (not to<br>be used for<br>contraception). | |
| General Design | Watch-style sensor<br>bracelet, phone app,<br>backend server | Oral temperature<br>sensor attached<br>to reader by a<br>cable | Different: The predicate<br>device has a temperature<br>sensor connected to a<br>reader loaded with the<br>prediction algorithm that<br>provides information on<br>the fertility status of the<br>user. The subject device<br>includes a wrist-worn<br>sensor that wirelessly<br>transmits data to an app<br>that connects to a server<br>where the fertility<br>algorithms analyze the<br>information collected and<br>transfer the prediction to<br>the app for display to the<br>user. These differences<br>do not raise different<br>questions of safety and<br>effectiveness (S&E). |
| Sensors | Temperature<br>PPG Sensor<br>Accelerometer | Temperature | Different: The subject<br>device includes additional<br>sensors to collect<br>additional information that<br>is used in by the fertility<br>prediction algorithm. The<br>addition of different<br>sensors does not raise<br>different questions of<br>S&E. |
| Parameters<br>Measured | Skin temperature<br>Resting pulse rate<br>Breathing rate<br>Heart rate variability<br>(HRV)<br>Sleep duration/ sleep<br>phases<br>Movement<br>Perfusion | Temperature | Different: The subject<br>device collects additional<br>physiological information<br>beyond that of the<br>predicate for use by the<br>fertility algorithm and for<br>data integrity purposes.<br>The collection of these<br>additional parameters<br>does not raise different<br>questions of S&E |
| Number of<br>Measurements<br>Taken | Periodically each night<br>while sleeping | Single<br>measurement<br>upon waking | Different: The subject<br>device collects data<br>throughout the night, while<br>the predicate is only used<br>once per day upon<br>waking. Collecting data<br>over a longer period does<br>not raise different<br>questions of S&E. |
| Location of<br>Temperature<br>Measurement | Wrist - skin | Oral | Different: The subject<br>device incorporates a<br>wrist-worn sensor, while |
| | | | |
| Temperature<br>Sensor<br>Accuracy/Precision | ±0.8°C/ ±0.2°C | ± 0.05°C/unknown | the predicate uses an oral<br>temperature probe. Use<br>of a wrist-worn sensor<br>does not raise different<br>questions of S&E.<br>Different: The accuracy<br>of the temperature sensor<br>is higher for the predicate<br>device than the subject<br>device. This difference<br>does not raise different<br>questions of S&E. |
| User Inputs | User can input:<br>• Period/flow<br>information<br>• Cervical fluid<br>consistency<br>• Sexual intercourse<br>• Pregnancy test<br>results<br>• Mood<br>• 10 user defined<br>functions | Not reported in<br>predicate 510(k)<br>Summary | Different: The specific<br>user inputs for the<br>predicate device are not<br>known. However, the<br>ability to input additional<br>information for tracking<br>does not raise different<br>questions of S&E. |
| User Interface | Smartphone app<br>showing graphical<br>display of the<br>fertility status (5-6<br>days)<br>• Fertile Days<br>• Ovulation day<br>• Additional<br>parameters<br>measured (e.g.,<br>HRV) for general<br>wellness<br>information<br>• User inputs | Per predicate<br>510(k) Summary<br>the user interacts<br>with the display<br>on the physical<br>device displaying<br>the measured<br>temperature. | Different: The subject<br>device provides<br>information via a<br>smartphone app, while the<br>predicate device displays<br>information on the screen<br>of the device. Differences<br>in user interfaces do not<br>raise different questions of<br>S&E. |
| Power Source | Rechargeable battery | Not reported in<br>predicate 510(k)<br>Summary | Different: Information on<br>the specific power sources<br>for the predicate device<br>are not known. However,<br>differences in in power<br>sources do not raise<br>different questions of<br>S&E. |
| Data Transmission<br>Method from<br>Sensor to Reader | Bluetooth Wireless<br>(wrist sensor to app<br>on phone)<br>Wi-Fi (phone to<br>backend server) | None | Different: The predicate<br>device transfers<br>information from the probe<br>to the reader using an<br>attached cable. The<br>subject device uses<br>wireless technology to<br>transfer information<br>between device<br>components. This<br>difference does not raise<br>different questions of S&E |
Ava AG Gutstrasse 73 8055 Zürich Switzerland
#### Ava Science Inc.
77 Geary Street – 5th Floor San Francisco, CA 94108 United States
{5}------------------------------------------------
# OVACO
Ava AG Gutstrasse 73 8055 Zürich Switzerland
Ava Science Inc.
77 Geary Street – 5th Floor San Francisco, CA 94108 United States
{6}------------------------------------------------
Image /page/6/Picture/8 description: The image shows the word "avac" in a stylized font. The first three letters, "ava", are in black, while the last two letters, "co", are in a light purple color. The letters are connected and have a flowing, cursive appearance. The image is simple and clean, with a white background.
Ava AG Gutstrasse 73 8055 Zürich Switzerland
Ava Science Inc.
77 Geary Street – 5th Floor San Francisco, CA 94108 United States
As shown in the table above, there are differences in the subject and predicate device indications for use statements. However, the intended uses of both devices are the same as they are both for aiding in ovulation prediction to facilitate conception and not to be used for contraception.
{7}------------------------------------------------
Image /page/7/Picture/1 description: The image shows a logo with the letters "AVACO" in a stylized font. The first three letters, "AVA," are in black, while the last two letters, "CO," are in a light purple color. The letters are connected and have a smooth, flowing design. The logo appears to be for a company or organization with the name AVACO.
The subject and predicate devices have different technological characteristics as shown in the table above. The differences in technological characteristics between the subject and predicate devices do not raise different questions of safety and effectiveness.
### Summary of Non-Clinical Data
| Biocompatibility<br>Testing | Biocompatibility testing for the Ava Fertility Tracker device was conducted in<br>accordance with the 2020 FDA guidance document Use of International<br>Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1:<br>Evaluation and testing within a risk management process" as follows:<br>Cytotoxicity: ISO 10993-5:2009 Skin Irritation: ISO 10993-10:2010 Sensitization (Guinea Pig Maximization Model): ISO 10993-10:2010 Testing confirmed that the subject device materials are biocompatible. |
|--------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Software and<br>Cybersecurity | Software documentation provided in accordance with the 2005 FDA guidance<br>document Guidance for the Content of Premarket Submissions for Software<br>Contained in Medical Devices to support device software with a minor level of<br>concern.<br>Cybersecurity information provided in accordance with the 2014 FDA guidance<br>document Content of Premarket Submissions for Management of<br>Cybersecurity in Medical Devices. |
| Electrical Safety<br>and EMC Testing | Electrical safety of the Ava Fertility Tracker was tested in accordance with:<br>AAMI/ANSI ES 60601-1:2005/A2:2010 (Medical electrical equipment -<br>Part 1: General requirements for basic safety and essential performance) IEC 60601-1-11:2015 (Medical electrical equipment - Part 1-11: General<br>requirements for basic safety and essential performance -- Collateral<br>standard: Requirements for medical electrical equipment and medical<br>electrical systems used in the home healthcare environment) Photobiological safety was conducted in accordance with IEC 62471:2006<br>(Photobiological safety of lamps and lamp systems)<br>Battery testing conducted in accordance with IEC 62133-1:2012 (Secondary<br>cells and batteries containing alkaline or other non-acid electrolytes - Safety<br>requirements for portable sealed secondary cells, and for batteries made from<br>them, for use in portable applications)<br>Electromagnetic compatibility of the Ava Fertility Tracker was tested in<br>accordance with IEC 60601-1-2:2014 (Medical electrical equipment - Part 1:<br>General requirements for basic safety and essential performance -- Collateral<br>standard: Electromagnetic compatibility - Requirements and tests) |
| Wireless<br>Technology | Wireless technology information provided in accordance with the 2013 FDA<br>guidance document Radio Frequency Wireless Technology in Medical Devices<br>Guidance for Industry and Food and Drug Administration Staff. |
#### Ava AG Gutstrasse 73 8055 Zürich Switzerland
Ava Science Inc. 77 Geary Street – 5th Floor San Francisco, CA 94108 United States
avawomen.com
{8}------------------------------------------------
Image /page/8/Picture/1 description: The image shows a logo with the letters "ava" in black and the letters "co" in purple. The letters are stylized and connected. The letters are all lowercase.
# Performance
## Testing - Bench
Bench testing shown in the table below was conducted to demonstrate that the Ava Fertility Tracker device meets its predetermined performance specifications.
| Test name | Summary | Specification | Pass / Fail |
|------------------------------------|----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Transportation test | Drop test of<br>Device Under<br>Test (D.U.T.) in<br>transportation<br>box | D.U.T. functional<br>and no visual<br>damage | Pass |
| Connector<br>mating test | Check expected<br>mating cycles of<br>charging<br>connector within<br>component<br>specification | >1460 cycles | Pass |
| Battery Test 1 | Lifetime test<br>after 730<br>charging /<br>discharging<br>cycles | Battery retains<br>>50% capacity | Pass |
| Battery Test 2 | Sufficient battery<br>capacity at end<br>of life with aged<br>D.U.T. | Valid<br>physiological<br>data transferred<br>to app after one<br>night of data<br>collection | Pass |
| Cyclic strap<br>elongation | Cyclic elongation<br>of strap following<br>730 cycles of<br>elongation and<br>relaxation by<br>15% | Maximum 10%<br>of straps break<br>completely | Pass |
| Drop Test | Drop D.U.T.<br>from 1.5 m onto<br>hard surface (10<br>drops) | D.U.T. functional<br>and no visual<br>damage | Pass |
| Shock test | Acceleration of<br>15g is applied to<br>D.U.T. (54<br>shocks) | D.U.T. functional<br>and no visual<br>damage | Pass |
| Vibration test | Broad band<br>random vibration<br>excitation is<br>applied to D.U.T.<br>for 4.5h | D.U.T. functional<br>and no visual<br>damage | Pass |
| Load Test | Mechanical load<br>of 250N is<br>applied to D.U.T.<br>for 1 hour | D.U.T. functional<br>and no visual<br>damage | Pass |
| Perfume / insect<br>repellent test | Perfume and<br>insect repellent<br>applied to D.U.T. | D.U.T. functional<br>and no visual<br>damage | Partial pass -<br>Labeling to<br>avoid exposure |
| | housing (30-day<br>exposure) | | to ethanol-<br>containing<br>products |
| Cosmetic cream<br>test | Cosmetic cream<br>applied to D.U.T.<br>housing (30-day<br>exposure) | D.U.T. functional<br>and no visual<br>damage | Pass |
| Sweat test | Artificial sweat<br>applied to D.U.T.<br>housing (30-day<br>exposure) | D.U.T. functional<br>and no visual<br>damage | Pass |
| Temperature<br>sensor validation | Accelerated<br>aging test to<br>assess<br>temperature<br>sensor function<br>over time | The temperature<br>sensor chip<br>stays within<br>specification:<br><br>Precision:<br>$\pm$ 0.2°C<br><br>Accuracy:<br>$\pm$ 0.8°C | Pass |
| Accelerometer<br>sensor validation | Accelerated<br>aging test to<br>assess<br>accelerometer<br>function over<br>time | Accuracy $\lt\pm$<br>0.02 g<br>Precision $\lt\pm$<br>0.001g | Partial Pass –<br>Precision met at<br>all timepoints,<br>while accuracy<br>passed in aged<br>devices.<br>Justification<br>provided in<br>support of<br>precision as the<br>more important<br>factor as the<br>device only uses<br>relative<br>acceleration<br>changes that are<br>used in the<br>sleep state<br>computation. |
| PPG sensor<br>Validation | Assessed the<br>ability of the<br>device to<br>measure IBI,<br>HR, BR, and<br>HRV | PPG sensor<br>signal $\pm$ 3% error<br>for IBI and HR,<br>and $\lt$ 2.5%<br>signal error for<br>BR and HRV | Pass |
Ava AG Gutstrasse 73 8055 Zürich Switzerland
Ava Science Inc.
77 Geary Street – 5th Floor San Francisco, CA 94108 United States
{9}------------------------------------------------
# avo
### Summary of Clinical Data
Ava AG Gutstrasse 73 8055 Zürich Switzerland
Performance Testing - Clinical
#### Ava Science Inc.
77 Geary Street – 5th Floor San Francisco, CA 94108 United States
A single center, prospective clinical study was conducted to support the subject device. The study enrolled 66 women between the ages of 18 and 45 years of age that were not planning to become pregnant in the following three to six months. Also, the women enrolled in the study were not on hormonal birth control, breastfeeding or taking medications that could affect the menstrual cycle. They also did not have any health issues, frequently travel between time
{10}------------------------------------------------
zones or have a sleeping disorder. The final analysis was performed on data from 61 women and 154 cycles.
Each woman in the study collected data in each cycle using subject device, Clearblue Digital Ovulation Test, and the Lady-Comp device (predicate).
The primary endpoint assessed the error in detecting the ovulation day using the Ava Fertility Tracker compared to urinary LH tests as a reference. In addition, the difference in the number of temperature shifts detected using basal-body temperature (Lady-Comp) compared to wrist skin temperature (Ava Fertility Tracker) was assessed as a secondary endpoint.
The study demonstrated that the Ava Fertility Tracker was able to accurately predict the day of ovulation. With a mean error of 0.315 days (95% Cl -0.029 to 0.698) the Ava Fertility Tracker was within the limits of the equivalence bounds of ±2 days, showing that the device can predict the time ovulation as compared to the LH reference test (p-value for equivalence <0.001). Furthermore, the secondary endpoint outcome showed that the Ava Fertility Tracker detected significantly more post-ovulation temperature shifts compared to Lady-Comp (p<0.001).
Conclusion Based on the non-clinical verification performance testing and the clinical validation provided with the submission, it can be concluded that the Ava Fertility Tracker is as safe and effective as the predicate device and supports a determination of substantial equivalence.
Ava AG Gutstrasse 73 8055 Zürich Switzerland
Ava Science Inc. 77 Geary Street – 5th Floor San Francisco, CA 94108 United States
avawomen.com
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