K Number
K020866
Device Name
FREESTYLE TRACKER DIABETES MANAGEMENT SYSTEM
Date Cleared
2002-06-11

(85 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TheraSense, Inc. FreeStyle Tracker Diabetes Management System is intended for use in the quantitative measurement of glucose in whole blood. It is intended for use by healthcare professionals and people with diabetes mellitus at home as an aid in monitoring the effectiveness of a diabetes control program. It is not intended for the diagnosis of or screening for diabetes mellitus, and it is not intended for use on neonates. Additionally, the TheraSense, Inc. FreeStyle Tracker Diabetes Management System is intended for use in home and clinical setting to aid people with diabetes and healthcare professionals in the review, analysis, and evaluation of historical blood glucose test results to support an effective diabetes management program. The TheraSense, Inc. FreeStyle Tracker Diabetes Management System is specifically indicated for use on the finger, forearm, upper arm, thigh, calf, and hand.
Device Description
The FreeStyle Tracker Diabetes Management System combines and joins the technologies and capabilities of both the FreeStyle Blood Glucose Monitoring System (blood glucose measurement testing system) and the FreeStyle Connect Data Management System (data management accessory software). Through the use of a Personal Digital Assistant (PDA), the user is able to conveniently log glucose measurements directly to a log history on the PDA. The Tracker System eliminates the necessity for manual data logs and separate tools for calculating values, storing results and producing and maintaining critical medical records. The blood glucose meter and data management system components of the Tracker System can also be used independently as separate features. The items that comprise the FreeStyle Tracker Diabetes Management System are as follows: - . FreeStyle Tracker Measurement Module - Personal Digital Assistant (PDA) . - . "Hot-sync" Cradle - FreeStyle Tracker Data Management Software . Additionally, in order to perform a blood glucose test the Tracker System requires the following items. These items are the same as those needed for the current FreeStyle System: - . FreeStyle Test Strips - FreeStyle Lancing Device . - FreeStyle Lancets ● - FreeStyle Control Solution . To perform a blood glucose measurement, the user removes the cover of the Visor PDA expansion slot and inserts the Tracker Measurement Module into the Visor PDA Handspring slot. The user then inserts a test strip into the Measurement Module. The user acquires a blood sample (with the test strip in the meter) by touching the edge of the test strip to the blood target area, filling the chamber on the strip by capillary action. The Tracker System sounds a tone (beeps) to let the user know that the sample chamber is full and the reaction has begun. The test is complete and the meter displays the glucose reading on the PDA display. The Tracker Data Management Systems also gives the ability to conveniently access and maintain diabetes data through the Visor PDA and/or PC. The user can easily and conveniently track major factors that affects their diabetes health, for example: - Blood glucose levels - . Insulin usage (via injection or pump) - . Food intake - Exercise . - . Oral medication usage - . State of health The Tracker DMS will also allow the user to enter personal factors used to maintain their proper glucose level. The following items assist the user to track and modify their lifestyle as it affects their diabetes health: - Target glucose range . - o Usual insulin type - . Typical insulin dose - . Insulin adjustment guidelines (determined by his/her healthcare professional) - . Meal schedule and guidelines (determined by his/her healthcare professional) - . Typical exercise type, duration and intensity
More Information

No
The description focuses on data logging, storage, and basic calculations, with no mention of AI/ML algorithms for analysis or prediction.

No.
The device is described as a diabetes management system that quantitatively measures glucose in whole blood and helps in tracking and analyzing historical blood glucose data for monitoring diabetes. It is explicitly stated that it is not intended for the diagnosis of or screening for diabetes mellitus. Its primary function is monitoring and data management, not directly treating a condition.

No

The "Intended Use / Indications for Use" section explicitly states: "It is not intended for the diagnosis of or screening for diabetes mellitus". It is described as an "aid in monitoring the effectiveness of a diabetes control program" and to "aid people with diabetes and healthcare professionals in the review, analysis, and evaluation of historical blood glucose test results to support an effective diabetes management program."

No

The device description explicitly lists hardware components like the "FreeStyle Tracker Measurement Module," "Personal Digital Assistant (PDA)," and "Hot-sync" Cradle as part of the system, in addition to the software.

Yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The primary intended use is the "quantitative measurement of glucose in whole blood." This is a measurement performed in vitro (outside the body) on a biological sample (whole blood).
  • Device Description: The device description explicitly details how a blood sample is applied to a test strip and how the system measures the glucose level in that sample. This process is characteristic of an in vitro diagnostic test.
  • Components: The system includes components like "FreeStyle Test Strips" and "FreeStyle Control Solution," which are typical consumables used in in vitro diagnostic glucose testing.

While the system also includes data management features, the core function of measuring glucose in a blood sample firmly places it in the category of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The TheraSense, Inc. FreeStyle Tracker Diabetes Management System is intended for use in the quantitative measurement of glucose in whole blood. It is intended for use by healthcare professionals and people with diabetes mellitus at home as an aid in monitoring the effectiveness of a diabetes control program. It is not intended for the diagnosis of or screening for diabetes mellitus, and it is not intended for use on neonates.

Additionally, the TheraSense, Inc. FreeStyle Tracker Diabetes Management System is intended for use in home and clinical setting to aid people with diabetes and healthcare professionals in the review, analysis, and evaluation of historical blood glucose test results to support an effective diabetes management program.

The TheraSense, Inc. FreeStyle Tracker Diabetes Management System is specifically indicated for use on the finger, forearm, upper arm, thigh, calf, and hand.

Product codes

NBW

Device Description

The FreeStyle Tracker Diabetes Management System combines and joins the technologies and capabilities of both the FreeStyle Blood Glucose Monitoring System (blood glucose measurement testing system) and the FreeStyle Connect Data Management System (data management accessory software). Through the use of a Personal Digital Assistant (PDA), the user is able to conveniently log glucose measurements directly to a log history on the PDA. The Tracker System eliminates the necessity for manual data logs and separate tools for calculating values, storing results and producing and maintaining critical medical records. The blood glucose meter and data management system components of the Tracker System can also be used independently as separate features.

The items that comprise the FreeStyle Tracker Diabetes Management System are as follows:

  • . FreeStyle Tracker Measurement Module
  • Personal Digital Assistant (PDA) .
  • . "Hot-sync" Cradle
  • FreeStyle Tracker Data Management Software .

Additionally, in order to perform a blood glucose test the Tracker System requires the following items. These items are the same as those needed for the current FreeStyle System:

  • . FreeStyle Test Strips
  • FreeStyle Lancing Device .
  • FreeStyle Lancets ●
  • FreeStyle Control Solution .

To perform a blood glucose measurement, the user removes the cover of the Visor PDA expansion slot and inserts the Tracker Measurement Module into the Visor PDA Handspring slot. The user then inserts a test strip into the Measurement Module. The user acquires a blood sample (with the test strip in the meter) by touching the edge of the test strip to the blood target area, filling the chamber on the strip by capillary action. The Tracker System sounds a tone (beeps) to let the user know that the sample chamber is full and the reaction has begun. The test is complete and the meter displays the glucose reading on the PDA display.

The Tracker Data Management Systems also gives the ability to conveniently access and maintain diabetes data through the Visor PDA and/or PC. The user can easily and conveniently track major factors that affects their diabetes health, for example:

  • Blood glucose levels
  • . Insulin usage (via injection or pump)
  • . Food intake
  • Exercise .
  • . Oral medication usage
  • . State of health

The Tracker DMS will also allow the user to enter personal factors used to maintain their proper glucose level. The following items assist the user to track and modify their lifestyle as it affects their diabetes health:

  • Target glucose range .
  • o Usual insulin type
  • . Typical insulin dose
  • . Insulin adjustment guidelines (determined by his/her healthcare professional)
  • . Meal schedule and guidelines (determined by his/her healthcare professional)
  • . Typical exercise type, duration and intensity

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

finger, forearm, upper arm, thigh, calf, and hand

Indicated Patient Age Range

Not intended for use on neonates.

Intended User / Care Setting

healthcare professionals and people with diabetes mellitus at home; home and clinical setting

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

System and component testing was performed with the Tracker Diabetes Management System to ensure the new device is equivalent to the currently marketed devices (FreeStyle Blood Glucose Monitoring System and FreeStyle Connect Data Management Software). These tests consisted of system, hardware, software, mechanical, packaging, electrical safety (EMC, EMI, and ESD) and clinical (user's study and labeling comprehension) evaluations. The changes to the FreeStyle System have been verified and validated demonstrating that the resultant changes have not affected safety or effectiveness.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K992684, K000582, K012014, K994433

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1345 Glucose test system.

(a)
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.(b)
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.

0

TheraSense, Înc. March 15, 2002

KO20866

FreeStyle Tracker Diabetes Management System Special 510(k)- Device Modification

JUN 11 2002

510(k) SummaryJUN 11 2002
CategoryComments
Sponsor:TheraSense, Inc.
1360 South Loop Road
Alameda, CA 94502
Correspondent:Donna K. Templeman
Manager, Regulatory Affairs
1360 South Loop Road
Alameda, CA 94502
Contact Numbers:Phone: (510) 239-2670
Fax: (510) 239-2799
Device Common NameBlood Glucose Meter and Data Management
Software
Device Proprietary NameFreeStyle Tracker™ Diabetes Management
System
Device Classification NameGlucose Test System
Blood Lancet
Device ClassificationGlucose Test System per 21 CFR 862.1345,
Class II Device
Predicate DeviceTheraSense, Inc., FreeStyle Blood Glucose
Monitoring System
TheraSense, Inc., FreeStyle Connect Data
Management System
Predicate Device
Manufacturer(s)TheraSense, Inc.
Predicate Device
Reference(s)K992684; K000582; K012014; K994433
Predicate Device
Proprietary Name(s)TheraSense, Inc., FreeStyle Blood Glucose
Monitoring System
TheraSense, Inc., FreeStyle Connect Data
Management System
Predicate Device
Classification Name(s)Glucose Test System
Data Management Software
Predicate Device
Classification(s)Glucose Test System per 21 CFR 862.1345, Class
II Device
Data Management Software, no classification
exists as of the date of subject device filing.

Date Summary Was Prepared: March 15, 2002.

Proprietary Data: This document and the information contained herein may not be reproduced, used or disclosed without prior written consent of TheraSense, Inc

1

Description of the Device:

The FreeStyle Tracker Diabetes Management System combines and joins the technologies and capabilities of both the FreeStyle Blood Glucose Monitoring System (blood glucose measurement testing system) and the FreeStyle Connect Data Management System (data management accessory software). Through the use of a Personal Digital Assistant (PDA), the user is able to conveniently log glucose measurements directly to a log history on the PDA. The Tracker System eliminates the necessity for manual data logs and separate tools for calculating values, storing results and producing and maintaining critical medical records. The blood glucose meter and data management system components of the Tracker System can also be used independently as separate features.

The items that comprise the FreeStyle Tracker Diabetes Management System are as follows:

  • . FreeStyle Tracker Measurement Module
  • Personal Digital Assistant (PDA) .
  • . "Hot-sync" Cradle
  • FreeStyle Tracker Data Management Software .

Additionally, in order to perform a blood glucose test the Tracker System requires the following items. These items are the same as those needed for the current FreeStyle System:

  • . FreeStyle Test Strips
  • FreeStyle Lancing Device .
  • FreeStyle Lancets ●
  • FreeStyle Control Solution .

To perform a blood glucose measurement, the user removes the cover of the Visor PDA expansion slot and inserts the Tracker Measurement Module into the Visor PDA Handspring slot. The user then inserts a test strip into the Measurement Module. The user acquires a blood sample (with the test strip in the meter) by touching the edge of

2

TheraSense, Inc. March 15, 2002

the test strip to the blood target area, filling the chamber on the strip by capillary The Tracker System sounds a tone (beeps) to let the user know that the action. sample chamber is full and the reaction has begun. The test is complete and the meter displays the glucose reading on the PDA display.

The Tracker Data Management Systems also gives the ability to conveniently access and maintain diabetes data through the Visor PDA and/or PC. The user can easily and conveniently track major factors that affects their diabetes health, for example:

  • Blood glucose levels
  • . Insulin usage (via injection or pump)
  • . Food intake
  • Exercise .
  • . Oral medication usage
  • . State of health

The Tracker DMS will also allow the user to enter personal factors used to maintain their proper glucose level. The following items assist the user to track and modify their lifestyle as it affects their diabetes health:

  • Target glucose range .
  • o Usual insulin type
  • . Typical insulin dose
  • . Insulin adjustment guidelines (determined by his/her healthcare professional)
  • . Meal schedule and guidelines (determined by his/her healthcare professional)
  • . Typical exercise type, duration and intensity

Proprietary Data: This document and the information contained herein may not be reproduced, used or disclosed without prior written consent of TheraSense, Inc

3

Intended Use:

The TheraSense, Inc. FreeStyle Tracker Diabetes Management System is intended for use in the quantitative measurement of glucose in whole blood. It is intended for use by healthcare professionals and people with diabetes mellitus at home as an aid in monitoring the effectiveness of a diabetes control program. It is not intended for the diagnosis of or screening for diabetes mellitus, and it is not intended for use on neonates or arterial blood.

Additionally, the TheraSense, Inc. FreeStyle Tracker Diabetes Management System is intended for use in home and clinical setting to aid people with diabetes and healthcare professionals in the review, analysis, and evaluation of historical blood glucose test results to support an effective diabetes management program.

The TheraSense, Inc. FreeStyle Tracker Diabetes Management System is specifically indicated for use on the finger, forearm, upper arm, thigh, calf, and hand.

Technological

Characteristics:

The fundamental scientific technology of the FreeStyle System has not been modified to result in the Tracker Diabetes Management System. The Tracker Measurement Module contains the same technology as the FreeStyle Meter in that the Tracker Measurement Module measures the electrical output from the glucose in whole blood reacting with the FreeStyle Test Strip chemistry. The measurement is then converted into glucose concentrations and displayed to the user.

Proprietary Data: This document and the information contained herein may not be reproduced, used or disclosed without prior written consent of TheraSense, Inc

4

Summary of

Testing:

System and component testing was performed with the Tracker Diabetes Management System to ensure the new device is equivalent to the currently marketed devices (FreeStyle Blood Glucose Monitoring System and FreeStyle Connect Data Management Software). These tests consisted of system, hardware, software, mechanical, packaging, electrical safety (EMC, EMI, and ESD) and clinical (user's study and labeling comprehension) evaluations. The changes to the FreeStyle System have been verified and validated demonstrating that the resultant changes have not affected safety or effectiveness.

5

Image /page/5/Picture/0 description: The image is a black and white logo for the Department of Health & Human Services (USA). The logo features a stylized image of a bird or abstract human figure, with flowing lines suggesting movement or connection. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES (USA)" is arranged in a circular fashion around the image.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service .

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Donna K. Templeman Manager, Regulatory Affairs TheraSense, Inc. 1360 South Loop Road Alameda, CA 94502

JUN 11 2002

Re: K020866

Device Name: FreeStyle Tracker™ Diabetes Management System Regulation Number: 21 CFR§862.1345 Regulation Name: Glucose Test System Regulatory Class: II Product Code: NBW Dated: June 3, 2002 Received: June 4, 2002

Dear Ms. Templeman:

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.

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.

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); 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.

6

Page 2

This letter will allow you to begin marketing your device as described in your 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 labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4588. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Steven Autman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

TheraSense, Inc. March 15, 2002

Intended Use Statement

510(k) Number (if known): K020866

FreeStyle Tracker Diabetes Management System Device Name:

Indication for Use:

The TheraSense, Inc. FreeStyle Tracker Diabetes Management System is intended for use in the quantitative measurement of glucose in whole blood. It is intended for use by healthcare professionals and people with diabetes mellitus at home as an aid in monitoring the effectiveness of a diabetes control program. It is not intended for the diagnosis of or screening for diabetes mellitus, and it is not intended for use on neonates.

Additionally, the TheraSense, Inc. FreeStyle Tracker Diabetes Management System is intended for use in home and clinical setting to aid people with diabetes and healthcare professionals in the review, analysis, and evaluation of historical blood glucose test results to support an effective diabetes management program.

The TheraSense, Inc. FreeStyle Tracker Diabetes Management System is specifically indicated for use on the finger, forearm, upper arm, thigh, calf, and hand.

Sen Cooper

(Division Sign-Off)
Vision of Clinical Laboratory.......
10(k) Number K020846

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use

OR

Over-The-Counter Use

(Per 21 CFR 801.109)

(Optional Format 1-2-96)

Proprietary Data: This document and the information contained herein may not be reproduced. used or disclosed without prior written consent of TheraSense, Inc.