K Number
K032552
Device Name
ACCU-CHEK ADVANTAGE SYSTEM
Date Cleared
2003-09-12

(24 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Accu-Chek Advantage system is designed to quantitatively measure the concentration of glucose in capillary whole blood by persons with diabetes or by health care professionals in the home or in health care facilities. The device is indicated for professional use and overthe-counter sale. Professionals may use the test strips to test capillary, venous, arterial, and neonate (including cord) blood samples; lay use is limited to capillary whole blood testing.
Device Description
Instrument Operating Principle -- amperometric Reagent Test Principle -- glucose dehydrogenase
More Information

We claim substantial equivalence to the current legally marketed Accu-Chek Advantage System.

Not Found

No
The summary describes a standard glucose meter based on amperometric and glucose dehydrogenase principles, with no mention of AI, ML, image processing, or data sets typically associated with AI/ML development.

No
The device is designed to measure glucose levels, not to treat a condition. It provides diagnostic information rather than therapy.

Yes
The device "quantitatively measure[s] the concentration of glucose in capillary whole blood," which is used as a diagnostic indicator for diabetes.

No

The device description explicitly mentions an "Instrument Operating Principle" (amperometric) and a "Reagent Test Principle" (glucose dehydrogenase), indicating the use of physical hardware and chemical reagents to perform the glucose measurement. This is not a software-only device.

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

Here's why:

  • Intended Use: The device is designed to "quantitatively measure the concentration of glucose in capillary whole blood". This is a measurement performed in vitro (outside the body) on a biological sample (blood).
  • Sample Type: It uses "capillary whole blood", "venous, arterial, and neonate (including cord) blood samples". These are all biological samples.
  • Measurement Principle: It uses "amperometric" and "glucose dehydrogenase" principles, which are common methods for analyzing biological samples in a laboratory or point-of-care setting.

The definition of an IVD generally includes devices intended for use in the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device clearly fits that description by measuring glucose in blood samples to provide information for persons with diabetes or healthcare professionals.

N/A

Intended Use / Indications for Use

The Accu-Chek Advantage system is designed to quantitatively measure the concentration of glucose in capillary whole blood. The device is indicated for professional use and over-the-counter sale. Professionals may use the test strips to test capillary, venous, arterial, and neonate (including cord) blood samples; lay use is limited to capillary whole blood testing.

The Accu-Chek Advantage system is designed to quantitatively measure the concentration of glucose in capillary whole blood by persons with diabetes or by health care professionals in the home or in health care facilities. The device is indicated for professional use and over-the-counter sale.

Professionals may use the test strips to test capillary, venous, arterial, and neonate (including cord) blood samples; lay use is limited to capillary whole blood testing.

Product codes (comma separated list FDA assigned to the subject device)

NBW

Device Description

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

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

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Intended User / Care Setting

professional use and over-the-counter sale.
Professionals may use the test strips to test capillary, venous, arterial, and neonate (including cord) blood samples; lay use is limited to capillary whole blood testing.
by persons with diabetes or by health care professionals in the home or in health care facilities.

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

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

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

Performance testing on the modified Accu-Chek Advantage (modified) System demonstrated that the device meets the performance requirements for its intended use. All predetermined acceptance criteria were satisfied. The data demonstrates that the Accu-Chek Advantage is substantially equivalent to the predicate device.

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

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Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

We claim substantial equivalence to the current legally marketed Accu-Chek Advantage System.

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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§ 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.

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SEP 1 2 2003

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510(k) SummaryK032552
IntroductionAccording 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, contactRoche Diagnostics Corporation
9115 Hague Rd.
Indianapolis, IN 46250
(317) 845-2000
Contact Person: Scott Thiel
Date Prepared: August 18, 2003
2) Device nameProprietary name: Accu-Chek Advantage System
Classification name: Glucose dehydrogenase, glucose test system
(21 C.F.R. § 862.1345)(75LFR)
3) Predicate deviceWe claim substantial equivalence to the current legally marketed Accu-Chek Advantage System.
4) Device DescriptionInstrument Operating Principle -- amperometric
Reagent Test Principle -- glucose dehydrogenase
5) Intended useThe Accu-Chek Advantage system is designed to quantitatively measure the concentration of glucose in capillary whole blood. The device is indicated for professional use and over-the-counter sale. Professionals may use the test strips to test capillary, venous, arterial, and neonate (including cord) blood samples; lay use is limited to capillary whole blood testing.
Feature/ClaimDetail
Intended useThe Accu-Chek Advantage system is designed to quantitatively measure the
concentration of glucose in capillary whole blood. The device is indicated for
professional use and over-the-counter sale. Professionals may use the test
strips to test capillary, venous, arterial, and neonate (including cord) blood
samples; lay use is limited to capillary whole blood testing.
Test principleThe enzyme glucose dehydrogenase converts the glucose in a blood sample
to gluconolactone. This reaction liberates an electron that reacts with a
coenzyme electron acceptor, the oxidized form of the mediator,
hexacyanoferrate (III), forming the reduced form of the mediator,
hexacyanoferrate (II). The test strip employs the electrochemical principle of
biamperometry. The meter applies a voltage between two identical
electrodes, which causes the reduced mediator formed during the incubation
period to be reconverted to an oxidized mediator. This generates a small
current that is read by the meter.
Monitor codingCode chip is provided with each carton of test strips.
procedure
Test strip storageStore at room temperature between +36° F (+2° C) and +86° F (+30° C).
conditions
Test strip operatingBetween +5° F (+10° C) and +104° F (+40° C).
conditions
Quality controlTests 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.
testing frequency
Quality controlThe 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.
acceptable range
Labeling instructionsThe 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.
regarding expected
results
Labeling instructionsRun 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.
regarding response
to unusual results

:

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510(k) Summary, Continued

The Roche Diagnostics Accu-Chek Advantage (modified) System is 6) Similarities substantially equivalent to the current legally marketed Accu-Chek Advantage (predicate) System. 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.

ート - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Continued on next page

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510(k) Summary, Continued

6) Similarities (continued)

Feature/ClaimDetail
Acceptable sample
typesCapillary whole blood samples from a fingerstick. Venous, neonatal, or arterial blood may also be used only if drawn by health care professionals.
Reportable range10-600 mg/dL
Hematocrit range20 - 65 % in vitro diagnostic use only.

7) Data demonstrating substantial equivalence

Performance testing on the modified Accu-Chek Advantage (modified) System demonstrated that the device meets the performance requirements for its intended use. All predetermined acceptance criteria were satisfied. The data demonstrates that the Accu-Chek Advantage is substantially equivalent to the predicate device.

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Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized image of an eagle with its wings outstretched, with three wavy lines emanating from the eagle's body.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

Re: K032552

Trade/Device Name: Accu-Chek Advantage Test System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: Class II Product Code: NBW Dated: August 18, 2003 Received: August 19, 2003

SEP 1 2 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).

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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 Sutman

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

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Indications for Use Statement

510(k) Number (if known): Қозасы (1): Қозаст 2) Device Name: Accu-Chek Advantage Test System

Indications for Use:

The Accu-Chek Advantage system is designed to quantitatively measure the concentration of qlucose in capillary whole blood by persons with diabetes or by health care professionals in the home or in health care facilities. The device is indicated for professional use and overthe-counter sale.

Professionals may use the test strips to test capillary, venous, arterial, and neonate (including cord) blood samples; lay use is limited to capillary whole blood testing.

(Please DO Not WRITE BÈLOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH. Office of Device Evaluation (ODE)

Carol C Benam/s Jean Cooper, DVM
Division Sign Off

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K 032552

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)