K Number
K042678
Device Name
RIGHTEST BLOOD GLUCOSE MONITORING SYSTEM
Date Cleared
2005-01-03

(96 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Rightest Blood Glucose Monitoring System is intended for in vitro diagnostic use (outside of body). It is indicated to be used by professional healthcare personnel or diabetics at home to measure the glucose concentration for aiding diabetes management. The glucose concentration is measured using capillary whole blood from the fingertip by using Rightest Blood Glucose Monitoring System. This test device is not intended for testing neonate blood samples. Special condition for use statement(s): Rightest System provides plasma equivalent results.
Device Description
Our Blood Glucose Monitoring System includes Meter, Blood Glucose Test Strips, Code Kev. Check key, One Control Solution, Lancing Device and lancets. Rightest meter, Blood Glucose Test Strips, Code Key and Check key are manufactured by BIONIME Corporation. The Rightest Meter, when used with the Rightest Blood Glucose Test Strips, quantitatively measures glucose in fresh capillary whole blood. The performance of the Rightest Blood Glucose Test Strips is verified by Control Solution. The Check key verifies the status of Rightest meter.
More Information

Not Found

No
The document describes a standard blood glucose monitoring system using electrochemical measurement, with no mention of AI/ML algorithms for data analysis or interpretation.

No
The device measures glucose concentration for aid in diabetes management, which is a diagnostic purpose, not a therapeutic one. It does not treat or alleviate the condition.

Yes
The device is described as a "Blood Glucose Monitoring System" intended for "in vitro diagnostic use (outside of body)" to "measure the glucose concentration for aiding diabetes management," which clearly indicates a diagnostic purpose.

No

The device description explicitly lists hardware components such as a Meter, Blood Glucose Test Strips, Code Key, Check key, One Control Solution, Lancing Device, and lancets. This indicates it is a system with both hardware and software elements, not a software-only device.

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

The "Intended Use / Indications for Use" section explicitly states: "The Rightest Blood Glucose Monitoring System is intended for in vitro diagnostic use (outside of body)."

N/A

Intended Use / Indications for Use

The Rightest Blood Glucose Monitoring System is intended for in vitro diagnostic use (outside of body). It is indicated to be used by professional healthcare personnel or diabetics at home to measure the glucose concentration for aiding diabetes management. The glucose concentration is measured with quantitative capillary whole blood from the fingertip by using Rightest Blood Glucose Monitoring System.

This device is not intended for testing neonate blood samples.

Special condition for use statement(s): Rightest System provides plasma equivalent results.

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

NBW, CGA, JJX

Device Description

Our Blood Glucose Monitoring System includes Meter, Blood Glucose Test Strips, Code Kev. Check key, One Control Solution, Lancing Device and lancets. Rightest meter, Blood Glucose Test Strips, Code Key and Check key are manufactured by BIONIME Corporation. The Rightest Meter, when used with the Rightest Blood Glucose Test Strips, quantitatively measures glucose in fresh capillary whole blood.

The performance of the Rightest Blood Glucose Test Strips is verified by Control Solution. The Check key verifies the status of Rightest meter.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Fingertip

Indicated Patient Age Range

Not intended for testing neonate blood samples.

Intended User / Care Setting

professional healthcare personnel or diabetics at home

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)

Non-Clinical Tests: Verification and validation of test results were evaluated to establish the verformance, functionality and reliability of The Rightest Blood Glucose Monitoring System. Testing included precision testing, linearity testing, sensitivity testing, interference testing, stability testing and electrical/EMC testing.

Clinical Tests:
Consumer Study (field test): Linear regression was established between lay user (Y axial) and technician (X axial).
Blood type: Capillary whole blood
Patient number: 128
Testing range: 56.0~556 mg/dL
Slope: 1.0066
Intercept: -0.576
R: 0.9959

Point Of Care Study: Officer correlation between the YSI 2300D glucose analyzer (X axial) and Rightest Blood Glucose Monitoring System (Y axial) were confirmed in the 309 blood samples. Results obtained by 3 positions in the same general hospital presented the following regression:
Blood type: Capillary Whole Blood, Venous Whole Blood, Venous Plasma
Patient number: 309 (for Venous Whole Blood)
Testing range: 68.0 ~ 565 mg/dL (for Venous Whole Blood)
Slope: 1.0025 (Capillary Whole Blood), 1.1806 (Venous Whole Blood), 1.819 (Venous Plasma)
Intercept: 4.509 (Capillary Whole Blood), -1.362 (Venous Whole Blood), 2.280 (Venous Plasma)
R: 0.9886 (Capillary Whole Blood), 0.9873 (Venous Whole Blood), 0.9980 (Venous Plasma)

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

Not Found

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.

K024194

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).

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

EXHIBIT #1

510(K) SUMMARY

This summary of 5l0(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

The assigned 510(k) number is:_ 1042678

Submitter's Identification: 1.

BIONIME CORPORATION NO 694, RENHUA ROAD, DALI CITY, TAICHUNG COUNTY, TAIWAN 412 Contact Person: Patrick Hsieh Phone Number: 886-4-24951268 FAX Number: 886-4-24952568

Date Summary Prepared: September 28, 2004.

Name of the Device: Rightest Blood Glucose Monitoring System 2.

  • Common or Usual Name: Glucose test system 3. Panel: Clinical Chemistry 75 Product Code: NBW, System, Test, Blood Glucose, Over the Counter. Classification: Class II

4. Device Description:

Our Blood Glucose Monitoring System includes Meter, Blood Glucose Test Strips, Code Kev. Check key, One Control Solution, Lancing Device and lancets. Rightest meter, Blood Glucose Test Strips, Code Key and Check key are manufactured by BIONIME Corporation. The Rightest Meter, when used with the Rightest Blood Glucose Test Strips, quantitatively measures glucose in fresh capillary whole blood.

The performance of the Rightest Blood Glucose Test Strips is verified by Control Solution. The Check key verifies the status of Rightest meter.

5. Intended Use:

The Rightest Blood Glucose Monitoring System is intended for in vitro diagnostic use (outside of body). It is indicated to be used by professional healthcare personnel or diabetics at home to measure the glucose concentration for aiding diabetes management. The glucose concentration is measured with quantitative capillary whole blood from the fingertip by using Rightest Blood Glucose Monitoring System.

1

This device is not intended for testing neonate blood samples.

Special condition for use statement(s): Rightest System provides plasma equivalent results.

Predicate Device Information: 6.

The Rightest Blood Glucose Monitoring System is substantially equivalent to the brand of ONE TOUCH Ultra noted below.

ONE TOUCH® Ultra® Blood Glucose Monitoring System Name: Device Company: Lifescan, Inc. 510(K) Number: K024194

Comparison to the Predicate Device: 7.

Similarities
ItemDevice
RightestPredicate
ONE TOUCH® Ultra®
Detection
methodAmperometryAmperometry
EnzymeGlucose Oxidase
(Aspergillus niger)Glucose Oxidase
(Aspergillus niger)
MediatorPotassium ferricyanidePotassium ferricyanide
Test range20 - 600 mg/dL20 - 600 mg/ dL
Hematocrit
Range30 – 55%30 - 55%
Temperature
range50 - 104° F
10 - 40° C43 - 111° F
6 - 44° C
Humidity range10 - 90%10 - 90%
Warranty(meter)3 years3 years
Open use time
(strip)3 months3 months
Differences
ItemDevice
RightestPredicate
ONE TOUCH® ULTRA®
ElectrodeNoble metal electrodeCarbon electrode
CodingCode keyButton (C1 - C49)
Test Time15 seconds5 seconds
Sample Volume2 uL1 uL
Memory
capability3, 7, 14 day average and
last 200 tests in the
memory14-day average and last
150 tests in the memory
Power$1.5V\times2$ battery (LR03)3V Li battery (CR2032)
Battery lifeRunning 1,500 testRunning 1,000 test
Size: LxWxH85.0x58.0x22.579x57x21

2

(mm)
Weight85g (with battery)42g (with battery)

Discussion of Non-Clinical Tests Performed for Determination of 8. Substantial Equivalence are as follows:

Verification and validation of test results were evaluated to establish the verformance, functionality and reliability of The Rightest Blood Glucose Monitoring System. Testing included precision testing, linearity testing, sensitivity testing, interference testing, stability testing and electrical/EMC testing.

Discussion of Clinical Tests Performed: 9.

Clinical testing included a consumer study and point of care study as outlined below:

Consumer Study (field test):

Linear regression was established between lay user (Y axial) and technician (X axial).

Blood typeCapillary whole blood
Patient number128
Testing range56.0~556 mg/dL
Slope1.0066
Intercept-0.576
R0.9959

Point Of Care Study:

I officer correlation between the YSI 2300D glucose analyzer (X axial) and Rightest Blood Glucose Monitoring System (Y axial) were confirmed in the 309 blood samples. Results obtained by 3 positions in the same general hospital presented the following regression:

| Blood type | Capillary Whole
Blood | Venous Whole
Blood | Venous Plasma |
|----------------|--------------------------|-----------------------|---------------|
| Patient number | | 309 | |
| Testing range | | 68.0 ~ 565 mg/dL | |
| Slope | 1.0025 | 1.1806 | 1.819 |
| Intercept | 4.509 | -1.362 | 2.280 |
| R | 0.9886 | 0.9873 | 0.9980 |

3

10. Conclusions:

Results of evaluation and clinical testing demonstrate that the performance of the Rightest Blood Glucose Monitoring System testing capillary whole blood is substantially equivalent to the predicate device, ONE TOUCH® Ultra® Blood Glucose Monitoring System. The precision and accuracy of Rightest is suitable for its use in monitoring the effectiveness of diabetes management at home and in clinical settings.

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the seal of the Department of Health & Human Services-USA. The seal is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" arranged around the perimeter. In the center of the seal is an abstract symbol that resembles an eagle or other bird in flight. The symbol is composed of three curved lines that suggest the wings and body of the bird.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN - 3 2005

Bionime Corporation c/o Ms. Susan D. Goldstein-Falk Official Correspondent MDI Consultant, Inc. 55 Northern Blvd. Suite 200 Great Neck, NY 11021

K042678 Re:

Trade/Device Name: Rightest Blood Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: Class II Product Code: NBW, CGA, JJX Dated: December 17, 2004 Received: December 20, 2004

Dear Ms. Goldstein-Falk:

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).

5

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 (240)276-0484. 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/industry/support/index.html

Sincerely yours.

Patricia Bernhart
for C. Rooks

Cornelia B. Rooks, MA Acting Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

6

Indications for Use

510(k) Number (if known):

Device Name: Rightest Blood Glucose Monitoring System

Indications For Use:

The Rightest Blood Glucose Monitoring System is intended for in vitro diagnostic use (outside of body). It is indicated to be used by professional healthcare personnel or diabetics at home to measure the glucose concentration for aiding diabetes management. The glucose concentration is measured using capillary whole blood from the fingertip by using Rightest Blood Glucose Monitoring System.

This test device is not intended for testing neonate blood samples.

Special condition for use statement(s): Rightest System provides plasma equivalent results.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use x (21 CFR 807 Subpart C)

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

Division Signer of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Office of In Vitro Diagnostic Device Evaluation and Safety

Page 1 of __ 1________________________________________________________________________________________________________________________________________________________________

510(k) K042678