COTRONIC DIGITAL THERMOMETER

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image is a black and white abstract design. It features geometric shapes, primarily consisting of parallelograms and trapezoids, arranged in a way that creates a three-dimensional effect. The shapes are solid black against a white background, with no discernible texture or shading. ### Cotronic Manufacturing Floor 4-6, Block 7, West of Zhoushi Road, Xixiang Street, BaoAn zone, ShenZhen, Guang Dong, P.R. China K103407|S1 MAY 1 3 2011 510K Summary 510(K)#103407 Date: October 16, 2010 #### U.S. Agent and Primary Contact Yan Dur Lin Abertek Company 23 Josiah Ave San Francisco, CA 94112 415-637-8395 DALEYDLIN@YAHOO.COM FDA CDRH DMC APR 1 9 2011 RCDollibri #### 510K Holder Cotronic Manufacturing Floor 4-6, Block 7, West of Zhoushi Road, Xixiang Street BaoAn Zone, ShenZhen, Guang Dong, P. R. China +86 755-81453681-1030 TaniMokr@contriver.com.hk #### Manufacturer Cotronic Manufacturing F4 Block4, FuYuan Ind Zone, Jiu Wei, XiXiang, BaoAn Zone, ShenZhen, GuangDong, P. R. China +86 755-81453681-1030 Owner/Opeartor Number: 9057884 FDA Registration Number: 3004215929 #### Device Information | Trade Name: | Clinical Electronic Thermometer | |----------------------|---------------------------------------| | Model: | TM12 and TM21 | | Common Name: | Oral Thermometer | | Classification Name: | Thermometer, Clinical, Electronic | | Class: | II | | Regulation: | 880.291 | | Product Code: | FLL - Clinical Electronic Thermometer | #### Device Description The clinical electronic thermometer is used over the counter to measure the human body temperature orally, auxiliary, and through the rectum. The device has the following skin contact parts: stainless steel tip, ABS plastic housing, and Ethylene/Butylene-Styrene Block thermoplastic housing. The method used to measure the temperature of a human follows the standard ASTM E1112(Standard Specifications for Electronic Thermometer for Intermittent Determination of Patient Temperature). 1 {1}------------------------------------------------ Image /page/1/Picture/0 description: The image shows an abstract geometric shape in black and white. It appears to be a stylized or simplified representation of a letter or symbol. The shape is composed of straight lines and angles, creating a three-dimensional effect. The design is modern and minimalist. ## Cotronic Manufacturing Floor 4-6, Block 7, West of Zhoushi Road, Xixiang Street, BaoAn zone, ShenZhen, Guang Dong, P.R. China #### Performance Summary The device follows the following standards: ASTM E112, IEC60601-1, and IEC60601-1-2. The device meets Biocompatibility Standards for ISO 10993-5:2009(E), EPA Nitro-amines - USA 21 CFR Part 58, ISO 10993-10:2002/Amd.1:2006, idt EN10993-10:2009, and ISO 10993-12:2007 Bioevaluation. #### Predicate Device Cotronic Clinical Electronic Thermometer, Model TM01 and TM02. #### Conclusion The Clinical Electronic Thermometer, TM12 and TM21, is substantially equivalent to the legally marketed device by Cotronic's Clinical Electronic Thermometer, TM01 and TM02, any difference in their technological characteristics that do exist would not have a significant effect on the safety or effectiveness of the device. TM12 and TM21 are substantially equivalent to the predicate devices, TM01 and TM02. 2 {2}------------------------------------------------ #### DEPARTMENT OF HEALTH & HUMAN SERVICES Image /page/2/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the top half of the circle. The bottom half of the circle contains a stylized image of an eagle. #### Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002 MAY 1 3 2011 Cotronic Manufacturing C/O Mr. Yan Dur Lin General Manager and Owner Abertek 23 Josiah Avenue San Francisco, California 94112 Re: K103407 Trade/Device Name: Cotronic Digital Thermometer Regulation Number: 21 CFR 80.2910 Regulation Name: Thermometer, Clinical Electronic Regulatory Class: II Product Code: FLL Dated: October 16, 2011 Received: April 19, 2011 Dear Mr. Lin: 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. {3}------------------------------------------------ Page 2- Mr. Lin 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 (reporting of medical device-related adverse events) (21 CFR 803); 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. If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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 Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Sincerely yours. h for Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {4}------------------------------------------------ Image /page/4/Picture/0 description: The image shows a stylized, geometric logo. It appears to be an abstract representation of the letter 'G' or a similar shape, constructed from thick, angular lines. The design has a three-dimensional quality, with some lines overlapping to create a sense of depth and perspective. The logo is presented in black against a white background, emphasizing its bold and modern aesthetic. # Indications for Use # Clinical Electronic Thermometer Model TM12 and TM21 This clinical electronic thermometer is used over the counter to measure the human body temperature orally, auxiliary, and through the rectum. Prescription Use (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter-Use X (21 CFR 801 Subpart C) Liddell: for AZC May 13, 2011 (Division Sign-Off) (Division Sign-Off) Division of Anesthesiology, General Hospital Division of Anesthesiology, General Devices Division of Anool.neers - 1999 Infection Control, Dental Devices K103407 510(k) Number: