K Number
K050760

Validate with FDA (Live)

Date Cleared
2005-09-13

(173 days)

Product Code
Regulation Number
880.5725
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The ACCU-CHEK Pocket Compass Diabetes Management Software is a single user system indicated for use as an accessory to compatible Disetronic insulin pumps and a number of commercially available Accu-Chek blood glucose meters to download data from these devices to a personal digital assistant (PDA) where it may be saved, displayed, reviewed, analyzed, and evaluated to support effective diabetes management. The Accu-Chek Pocket Compass Software is also indicated for the management of diabetes by calculating an insulin or carbohydrate dose based on user entered data. The device is indicated for over-the-counter sale.

Device Description

An accessory software that enables the person with diabetes and their health care professionals in review, analysis and evaluation of historical blood glucose test results and insulin infusion pump data to support effective diabetes management, including calculating an insulin or carbohydrate dose based on user entered data. The device is not intended to provide any diagnosis based upon patient results.

AI/ML Overview

The provided document is a 510(k) summary for the ACCU-CHEK® Pocket Compass Diabetes Management Software. It describes the device, its intended use, and claims substantial equivalence to a predicate device. However, it does not contain any information about acceptance criteria, device performance results, sample sizes for testing or training, ground truth establishment, or clinical studies.

Therefore, I cannot fulfill your request for:

  1. A table of acceptance criteria and the reported device performance
  2. Sample sizes used for the test set and data provenance
  3. Number of experts used to establish ground truth and their qualifications
  4. Adjudication method
  5. MRMC comparative effectiveness study results or effect size
  6. Standalone performance results
  7. Type of ground truth used
  8. Sample size for the training set
  9. How ground truth for the training set was established

This document is a regulatory submission summary that focuses on demonstrating substantial equivalence to an existing device, primarily based on features and intended use, rather than presenting detailed performance study data. For such data, one would typically look for a full clinical study report, a detailed V&V (Verification and Validation) report, or perhaps a more extensive technical file that would accompany this summary.

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KoS0760 510(k) Summary

,

IntroductionAccording to the requirements of 21 CFR 807.92, the following informationprovides sufficient detail to understand the basis for a determination ofsubstantial equivalence.
1) Submittername, address,contactRoche Diagnostics Corporation9115 Hague Rd.Indianapolis, IN 46250(317) 521-2000 ext. 3362Contact Person: Scott ThielDate Prepared: March 23, 2005
2) Device nameProprietary name: ACCU-CHEK® Pocket Compass Diabetes ManagementSoftwareCommon name: diabetes management softwareClassification name: calculator/data processing module for clinical useClassification Regulations: 880.5725, 862.1345, 862.2100Product Codes: LZG, LFR, JQP
3) PredicatedeviceWe claim substantial equivalence to the current legally cleared AnimasezManager Plus Software.
4) DeviceDescriptionAn accessory software that enables the person with diabetes and their health careprofessionals in review, analysis and evaluation of historical blood glucose testresults and insulin infusion pump data to support effective diabetes management,including calculating an insulin or carbohydrate dose based on user entered data.The device is not intended to provide any diagnosis based upon patient results.
5) Intended useThe ACCU-CHEK Pocket Compass Diabetes Management Software is a singleuser system indicated for use as an accessory to compatible Disetronic insulinpumps and a number of commercially available Accu-Chek blood glucose metersto download data from these devices to a personal digital assistant (PDA) whereit may be saved, displayed, reviewed, analyzed, and evaluated to supporteffective diabetes management. The Accu-Chek Pocket Compass Software isalso indicated for the management of diabetes by calculating an insulin orcarbohydrate dose based on user entered data. The device is indicated for over-the-counter sale.

Continued on next page

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510(k) Summary, Continued | 人んちで 76

Comparison to Predicate Device

The Roche Diagnostics ACCU-CHEK Pocket Compass Similarities Diabetes Management Software is substantially equivalent to the current legally cleared version Animas ezManager Plus Software. The following is a list of some of the claims and features found to be similar to the predicate device.

Feature/ClaimDetail
Meter datauploadYes.
SupportYes; through call center support, labeling and health careprofessionals.
Data storageOn computer media.
Reports andgraphsSimilar graphs and reports can be generated for viewingon a display screen, and hard copy printout.
Manual DataEntrySimilar methods of manually entering data into thesoftware.
Delete DataSimilar methods of deleting data.
Track non-blood glucosedataTracks similar data sets. (i.e. Carbohydrates, insulin, timeblocks, event codes).
Intended UseBoth products are indicated for use as an accessory toinsulin infusion pumps and blood glucose monitors.Both products provide for electronic download of datafrom these devices. Both products provide and insulin orcarbohydrate dose based upon user entered data.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus symbol, which features a staff with a snake entwined around it, and three horizontal bars above it. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES. USA" is arranged in a circular pattern around the symbol.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 1 3 2005

Mr. Scott Thiel Regulatory Affairs Program Principal Roche Diagnostics 9115 Hague Road Indianapolis, Indiana 46250

Re: K050760

KU50700
Trade/Device Name: Accu-Chek Pocket Compass Diabetes Management Software Regulation Number: 21 CFR 880.5725 Regulation Name: Infusion pump Regulatory Class: II Product Code: LZG Dated: August 23, 2005 Received: August 25, 2005

Dear Mr. Thiel:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your becalent 510(4) per device is substantially equivalent (for the referenced above and have determined the avecally marketed predicate devices marketed in indications for use stated in the encreations of the enactment date of the Medical Device interstate collimence prior to thay 20, 1978, and cases and with the provisions of Amendments, of to devices that have book formation of require approval of a premarket the sgmarel the Federal Food, Drug, and Cosmetic Pres (Pres) - Market the device, subject to the general approval appreation (1 Mill). I our general controls provisions of the Act include controls provisions of the Fish Title Listing of devices, good manufacturing practice, requirements for and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III If your device is classified (see above) into exactives. Existing major regulations affecting (PMA), it may be subject to such additional volulations, Title 21, Parts 800 to 898. Inte your device can be found in the Could of Preceded on games in the Federal Register.

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Page 2 - Mr. Thiel

Please be advised that FDA's issuance of a substantial equivalence determination does not Please be advised that IDA 3 issualled of a beather complies with other requirements mean that FDA has made a deceminations administered by other Federal agencies.
of the Act or any Federal statutes and regulations administered by other to sectimes in of the Act of ally rederal statutes and regaraments, including, but not limited to: registration You must comply with an the Act 3 requirements and 801); good manufacturing practices
and listing (21 CFR Part 807); labeling (21 CFR Part 801); gED Box 800); and i and ifsing (21 CFR Part 807), labeling (21 CFR Pat (QS) regulation (21 CFR Part 820); and if requirements as set form in the quality by control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k)
10 a This letter will anow you to begin matically your antial equivalence of your device to a premarket nothleation. THCTDA miding of baskand of the results 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), a If you desire specific advice for your de res 210) 276-0115. Also, please note the regulation please contact inc Other or Ochiphants and motification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the may obtain of Small Manufacturers, International and Consumer Assistance at its toll-free DIVIsion of Binan 2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Sylvie Y. Michieums.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): ├Оболь О

Device Name: ACCU-CHEK® Pocket Compass Diabetes Management Software

Indications For Use:

The ACCU-CHEK Pocket Compass Diabetes Management Software is a single user system The NOOD OFFERE Foreiges of to compatible Disetronic insulin pumps and a number of multicated for use as all accused you complains meters to download data from these devices to a personal digital assistant (PDA) where it may be saved, displayed, reviewed, analyzed, and a personal digital abonument. The Accu-Chek Pocket Pocket Compass Software evaluation to support of envanagement of diabetes by calculating an insulin or carbohydrate dose based on user entered data. The device is indicated for over-the-counter sale.

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

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Tim Vme

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(Division Sign-Off) Division of Anesthesiology. General Hospital, Infection Control, Dental De

510(k) Number: K952761

§ 880.5725 Infusion pump.

(a)
Identification. An infusion pump is a device used in a health care facility to pump fluids into a patient in a controlled manner. The device may use a piston pump, a roller pump, or a peristaltic pump and may be powered electrically or mechanically. The device may also operate using a constant force to propel the fluid through a narrow tube which determines the flow rate. The device may include means to detect a fault condition, such as air in, or blockage of, the infusion line and to activate an alarm.(b)
Classification. Class II (performance standards).