AUTOSURE VOICE BLOOD GLUCOSE MONITORING SYSTEM, MODEL AS90011F9
Applicant
Apex BioTechnology Corp.
Product Code
CGA · Clinical Chemistry
Decision Date
Apr 9, 2009
Decision
SESE
Submission Type
Special
Regulation
21 CFR 862.1345
Device Class
Class 2
Attributes
Pediatric
Indications for Use
The Glucosure Voice Blood Glucose Monitoring System is intended for use in the quantitative measurement of glucose in fresh capillary whole blood from the finger, palm, and forearm. It is intended for use by healthcare professionals and people with diabetes mellitus at home as an aid in monitoring the effectiveness of diabetes control programs. It is not intended for the diagnosis of or screening for diabetes mellitus, and is not intended for use on neonates.
Device Story
System comprises blood glucose meter, test strips, and control solutions. Input: fresh capillary whole blood sample applied to test strip. Meter performs electrochemical measurement of glucose concentration. Output: quantitative glucose result displayed on screen and announced via integrated voice functionality for visually impaired users. Used in home or clinical settings by patients or healthcare professionals. Results assist in monitoring diabetes control effectiveness. System is plasma-calibrated for lab result comparison.
Clinical Evidence
Bench testing only. Submitter provided design control activities summary, including risk analysis and verification/validation results, to demonstrate that modifications met predetermined acceptance criteria.
Technological Characteristics
Electrochemical glucose test system. Includes meter, test strips, and control solutions. Features integrated voice output for accessibility. Plasma-calibrated. Class II device (21 CFR 862.1345).
Indications for Use
Indicated for quantitative glucose measurement in fresh capillary whole blood (fingertip, forearm, palm) for diabetes management. For lay use by diabetics and clinical use by healthcare professionals. Not for diabetes diagnosis, screening, or neonatal use.
Regulatory Classification
Identification
A glucose test system is a device intended to measure glucose quantitatively in blood and other body fluids. Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolism disorders including diabetes mellitus, neonatal hypoglycemia, and idiopathic hypoglycemia, and of pancreatic islet cell carcinoma.
Special Controls
*Classification.* Class II (special controls). The device, when it is solely intended for use as a drink to test glucose tolerance, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.
Predicate Devices
GlucoSure Voice BGM System
Related Devices
K090188 — U-RIGHT TD-4227 NO CODING BLOOD GLUCOSE MONITORING SYSTEM, MODEL TD-4222 · Taidoc Technology Corporation · Jul 13, 2009
K073416 — ARKRAY GLUCOCARD 01 BLOOD MONITORING SYSTEM · Arkray Factory USA, Inc. · Jun 13, 2008
K090536 — FORA V12 NO-CODING BLOOD GLUCOSE MONITORING SYSTEM, MODEL TD-4247 · Taidoc Technology Corporation · Mar 26, 2009
K113098 — AUTOSURE VOICE II PLUS, AUTOSURE PLUS BLOOD GLUCOSE TEST STRIPS,CONTREX PLUS III · Apex BioTechnology Corp. · Jan 17, 2012
K091102 — ASSURE PLATINUM AND GLUCOCARD VITAL BLOOD GLUCOSE MONITORING SYSTEMS · Arkray Factory USA, Inc. · Oct 23, 2009
Submission Summary (Full Text)
{0}
SPECIAL 510(k): Device Modification
ODE Review Memorandum (Decision Making Document is Attached)
To: THE FILE
RE: DOCUMENT NUMBER k090043
This 510(k) submission contains information/data on modifications made to the SUBMITTER'S own Class II, Class III or Class I devices requiring 510(k). The following items are present and acceptable (delete/add items as necessary):
1. The name and 510(k) number of the SUBMITTER'S previously cleared device. (For a preamendments device, a statement to this effect has been provided.) Apex BioTechnology Glucosure Voice, k073137
2. Submitter's statement that the INDICATION/INTENDED USE of the modified device as described in its labeling HAS NOT CHANGED along with the proposed labeling which includes instructions for use, package labeling, and, if available, advertisements or promotional materials (labeling changes are permitted as long as they do not affect the intended use).
3. A description of the device MODIFICATION(S), including clearly labeled diagrams, engineering drawings, photographs, user's and/or service manuals in sufficient detail to demonstrate that the FUNDAMENTAL SCIENTIFIC TECHNOLOGY of the modified device has not changed.
This change was for removing the code-chip and making the device a no-code meter. Additionally, the voice functions associated with the test strip code have been removed and the voice function no longer calls out when the control solution results are out of range. The appearance of the meter has changed and the scroll button on the device has been replaced by a three button control system.
4. Comparison Information (similarities and differences) to applicant's legally marketed predicate device including, labeling, intended use, and physical characteristics.
5. A Design Control Activities Summary which includes:
a) Identification of Risk Analysis method(s) used to assess the impact of the modification on the device and its components, and the results of the analysis
b) Based on the Risk Analysis, an identification of the verification and/or validation activities required, including methods or tests used and acceptance criteria to be applied
c) A declaration of conformity with design controls. The declaration of conformity included:
i) A statement signed by the individual responsible, that, as required by the risk analysis, all verification and validation activities were performed by the designated individual(s) and the results demonstrated that the predetermined acceptance criteria were met, and
ii) A statement signed by the individual responsible, that the manufacturing facility is in conformance with design control procedure requirements as specified in 21 CFR 820.30 and the records are available for review.
6. A Truthful and Accurate Statement, a 510(k) Summary or Statement and the Indications for Use Enclosure (and Class III Summary for Class III devices).
The labeling for this modified subject device has been reviewed to verify that the indication/intended use for the device is unaffected by the modification. In addition, the submitter's description of the particular modification(s) and the comparative information between the modified and unmodified devices demonstrate that the fundamental scientific technology has not changed. The submitter has provided the design control information as specified in The New 510(k) Paradigm and on this basis, I recommend the device be determined substantially equivalent to the previously cleared (or their preamendment) device.
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