K Number
K031755
Device Name
ACCU-CHEK COMPACT TEST STRIP
Date Cleared
2003-07-03

(27 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Accu-Chek Compact Test Drums are used with the Accu-Chek Compact Meter. The Accu-Chek Compact system is designed to quantitatively measure the concentration of glucose in capillary and venous whole blood. The device is indicated for professional use and over-the-counter sale. The Accu-Chek Compact system is indicated for lay person use with capillary whole blood samples drawn from the fingertips, forearm, upper arm, thigh, calf, and palm.
Device Description
Instrument Operating Principle -- reflectance Reagent Test Principle -- glucose dehydrogenase
More Information

Not Found

Not Found

No
The summary describes a glucose meter and test strips based on reflectance and glucose dehydrogenase principles, with no mention of AI, ML, or related concepts.

No.
The device measures glucose concentration, which is a diagnostic function, not a therapeutic one. It does not treat or prevent a disease.

Yes
The device is described as measuring "the concentration of glucose in capillary and venous whole blood," which is a diagnostic measurement used to identify and monitor conditions like diabetes.

No

The device description explicitly mentions "Instrument Operating Principle -- reflectance" and "Reagent Test Principle -- glucose dehydrogenase," indicating physical components (meter and test strips/drums) are integral to the device's function, not just software.

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

Here's why:

  • Intended Use: The description explicitly states the device is designed to "quantitatively measure the concentration of glucose in capillary and venous whole blood." This is a classic example of an in vitro diagnostic test, as it analyzes a biological sample (blood) outside of the body to provide diagnostic information (glucose concentration).
  • Device Description: The mention of "Reagent Test Principle -- glucose dehydrogenase" further confirms its IVD nature. This indicates the use of chemical reagents to perform the test on the blood sample.
  • Performance Studies: The description of performance studies evaluating accuracy and precision against a "laboratory plasma glucose reference test methodology" is typical for IVD devices, demonstrating their analytical performance.

The fact that it is used with a meter and involves test drums (which contain reagents) reinforces its function as an IVD system for analyzing blood samples.

N/A

Intended Use / Indications for Use

The Accu-Chek Compact Test Drums are used with the Accu-Chek Compact Meter. The Accu-Chek Compact system is designed to quantitatively measure the concentration of glucose in capillary and venous whole blood. The device is indicated for professional use and over-the-counter sale. The Accu-Chek Compact system is indicated for lay person use with capillary whole blood samples drawn from the fingertips, forearm, upper arm, thigh, calf, and palm.

Product codes

NBW, LFR

Device Description

Instrument Operating Principle -- reflectance
Reagent Test Principle -- glucose dehydrogenase

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingertips, forearm, upper arm, thigh, calf, and palm

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Professional use and over-the-counter sale.
lay person use

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

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Summary of Performance Studies

Performance testing on the modified Accu-Chek Compact Test Strip demonstrated that the device meets the performance requirements for its intended use. A multi-center performance study was conducted to evaluate the accuracy and precision of the modified device. The clinical data demonstrates that the performance of the Accu-Chek Compact Test Strip correlates well with the laboratory plasma glucose reference test methodology. All predetermined acceptance criteria were satisfied. The data also demonstrates that the Accu-Chek Compact Test Strip is substantially equivalent to the predicate device.

Accuracy: N = 120, Y=0.99x-1.96, Correlation coefficient = 0.983, Range = 56 - 531 mg/dL
Consumer Studies: N = 120, Y=1.05x-5.065, Correlation coefficient = 0.983, Range = 56 - 531 mg/dL
Precision, aqueous, low: N = 10, Mean = 43.2 mg/dL, SD = 1.0
Precision, aqueous, high: N = 10, Mean = 339 mg/dL, %CV = 1.5
Precision, blood, low: N = 10, Mean = 36 mg/dL, SD = 1.0
Precision, blood, mid: N = 10, Mean = 165 mg/dL, %CV = 1.4
Precision, blood, high: N = 10, Mean = 300 mg/dL, %CV = 1.5

Key Metrics

Test time: 8 seconds
Minimum sample volume: 1.5 uL
Interference from triglycerides: > 5000 mg/dL
Bilirubin: None
Reportable range: 10-600 mg/dL
Hematocrit: 20 - 65 %

Predicate Device(s)

Not Found

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

510(k) Summary

K031755
JUL 03 2003

| Introduction | According to the requirements of 21 CFR 807.92, the following information
provides sufficient detail to understand the basis for a determination of
substantial equivalence. |
|-------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 1) Submitter
name, address,
contact | Roche Diagnostics Corporation
9115 Hague Rd.
Indianapolis, IN 46250
(317) 845-2000
Contact Person: Scott Thiel
Date Prepared: June 3, 2003, 2003 |
| 2) Device name | Proprietary name: Accu-Chek Compact System
Classification name: Glucose dehydrogenase, glucose test system
(21 C.F.R. § 862.1345)(75LFR) |
| 3) Predicate
device | We claim substantial equivalence to the current legally marketed version of
the same device. |
| 4) Device
Description | Instrument Operating Principle -- reflectance
Reagent Test Principle -- glucose dehydrogenase |
| 5) Intended use | The Accu-Chek Compact Test Drums are used with the Accu-Chek Compact
Meter. The Accu-Chek Compact system is designed to quantitatively
measure the concentration of glucose in capillary and venous whole blood.
The device is indicated for professional use and over-the-counter sale. The
Accu-Chek Compact system is indicated for lay person use with capillary
whole blood samples drawn from the fingertips, forearm, upper arm, thigh,
calf, and palm. |

1

The Roche Diagnostics Accu-Chek Compact Test Strip is substantially 6) Similarities equivalent to the current legally marketed version of the same device. The proposed modification is relatively modest in scope. The following is a list of some of the claims and features unaffected by the proposed modification.

Feature/ClaimDetail
Intended useThe Accu-Chek Compact Test Drums are used with the Accu-Chek
Compact Meter. The Accu-Chek Compact system is designed to
quantitatively measure the concentration of glucose in capillary and
venous whole blood. The device is indicated for professional use and
over-the-counter sale. The Accu-Chek Compact system is indicated for
lay person use with capillary whole blood samples drawn from the
fingertips, forearm, upper arm, thigh, calf, and palm.
Test principleStep 1: Glucose from the whole blood sample is oxidized by the PQQ-
dependent enzyme glucose-dye-oxidoreductase to glucolactone and the
reduction equivalents are transferred to the enzyme bound PQQ to give PQQH2.
Step 2: The enzyme transfers the reduction equivalents from PQQH2 to the
oxidized form of the mediator bis-(2-hydroxyethyl)-(4-hydroximinocyclohexa-
2,5-dienylidene)-ammonium chloride.
Step 3: The reduced form of the mediator reduces the indicator 2,18-
phosphomolybdic acid to produce the color heteropolyblue.
MonitorDesigned for use with the currently distributed version of the Accu-Chek
Compact meter.
Monitor coding
procedureBarcode containing coding information is printed on each drum of test
strips.
Test strip storage
conditionsStore at room temperature between +36° F (+2° C) and +86° F (+30° C).
Test strip operating
conditionsBetween +50° F (+10° C) and +104° F (+40° C).
Quality control
testing frequencyTests should be run with liquid quality control materials whenever a new
vial of test strips is opened or an unusual blood test result is obtained.
Quality control
acceptable rangeThe mean is strip lot specific and will be determined individually. The
range of the controls is within ± 15 mg/dL or ± 15% compared to the
determined mean.

2

6) Similarities (continued)

Feature/ClaimDetail
Labeling
instructions
regarding expected
resultsThe normal fasting adult blood glucose range for a non-diabetic is 70-105 mg/dL. One to two hours after meals, normal blood glucose levels should
be less than 140 mg/dL. Doctors will determine the range that is
appropriate for the patients.
Labeling
instructions
regarding response
to unusual resultsRun a quality control test, if the result is outside the acceptable QC
recovery range contact Roche Diagnostics's Accu-Chek Customer Care
center; if result is within the acceptable range, review proper testing
procedure and repeat blood glucose test with a new test strip.
Reagent stability18 months
Reportable range10-600 mg/dL
Hematocrit20 - 65 %
Acceptable sample
typesProfessional Testing
Capillary whole blood samples (fingertip or alternative sites)
Venous whole blood samples

Lay User Testing
Capillary whole blood samples (fingertip or alternative sites) |
| Warnings and
precautions | For in vitro diagnostic use only. |
| Reagent
composition | Glucose-dye-oxidoreductase * Bis-(2-hydroxyethyl)-(4-hydroximinocyclohexa-2,5-dienylidene)-ammonium chloride 2,18-phosphomolybdic acid Stabilizer Non-reactive ingredients *(from A. Calcoaceticus, recombinant from E. Coli) |

3

Differences

| Feature | Accu-Chek Compact Test Strip
(modified) | Accu-Chek Compact Test Strip
(predicate) |
|------------------------------------|---------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|
| Test time | 8 seconds | 15 seconds |
| Minimum sample
volume | 1.5 uL | 3.5 uL |
| Interference from
triglycerides | > 5000 mg/dL | > 1000 mg/dL |
| Bilirubin | None | > 20 mg/dL |
| Fluoride | Listed as interfering preservative in
specimen collection section. | Listed as interfering preservative in
specimen collection and limitations
sections. |
| Accuracy | N = 120
Y=0.99x-1.96
Correlation coefficient = 0.983
Range = 56 - 531 mg/dL | N = 138
Y=0.954x+1.8
Correlation coefficient = 0.992
Range = 64 - 350 mg/dL |
| Consumer Studies | N = 120
Y=1.05x-5.065
Correlation coefficient = 0.983
Range = 56 - 531 mg/dL | N = 138
Y=0.956x+2.0
Correlation coefficient = 0.994
Range = 63 - 359 mg/dL |
| Precision, aqueous,
low | N = 10
Mean = 43.2 mg/dL
SD = 1.0 | N = 10
Mean = 58.0 mg/dL
SD = 1.0 |
| Precision, aqueous,
mid | None claimed | N = 10
Mean = 127.3 mg/dL
%CV = 2.7 |
| Precision, aqueous,
high | N = 10
Mean = 339 mg/dL
%CV = 1.5 | N = 10
Mean = 227.7
%CV = 2.4 |
| Precision, blood,
low | N = 10
Mean = 36 mg/dL
SD = 1.0 | N = 20
Mean = 56 mg/dL
SD = 1.4 |
| Precision, blood,
mid | N = 10
Mean = 165 mg/dL
%CV = 1.4 | N = 20
Mean = 140 mg/dL
%CV = 1.9 |
| Precision, blood,
high | N = 10
Mean = 300 mg/dL
%CV = 1.5 | N = 20
Mean = 390 mg/dL
%CV = 3.0 |

:

4

  1. Data demonstrating substantial equivalence

Performance testing on the modified Accu-Chek Compact Test Strip demonstrated that the device meets the performance requirements for its intended use. A multi-center performance study was conducted to evaluate the accuracy and precision of the modified device. The clinical data demonstrates that the performance of the Accu-Chek Compact Test Strip correlates well with the laboratory plasma glucose reference test methodology. All predetermined acceptance criteria were satisfied. The data also demonstrates that the Accu-Chek Compact Test Strip is substantially equivalent to the predicate device.

5

Image /page/5/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 perimeter. In the center of the seal is an abstract image of an eagle.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Mr. Scott Thiel Regulatory Affairs Specialist Roche Diagnostics Corporation 9115 Hague Road P.O. Box 50457 Indianapolis, IN 46250-0457

JUL 0 3 2003

Re: K031755

Trade/Device Name: Accu-Chek Compact Test Strip Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: Class II Product Code: NBW: LFR Dated: June 3, 2003 Received: June 6, 2003

Dear Mr. Thiel:

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 Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

6

Page 2 -

This letter will allow you to begin marketing your device as described in your Section 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 information about the application of labeling requirements to your device, or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 594-3084. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Steven Putman

Steven I. Gutman, M.D., M.B.A. Director Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

7

Indications for Use Statement

510(k) Number (if known): K03 1755 "Special
Device Name: Accu-Chek Compact Test Strip

Indications for Use:

The Accu-Chek Compact Test Drums are used with the Accu-Chek Compact Meter. The Accu-Chek Compact system is designed to quantitatively measure the concentration of glucose in capillary and venous whole blood. The device is indicated for professional use and over-thecounter sale. The Accu-Chek Compact system is indicated for lay person use with capillary whole blood samples drawn from the fingertips, forearm, upper arm, thigh, calf, and palm.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign-OffJan Coogy
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Office of In Vitro Diagnostic Device
Evaluation and Safety

510(k)K031755
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Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use

ter Use

(Optional Format 1-2-96)