K Number
K060765
Device Name
HEMOCUE GLUCOSE 201 RT ANALYZER MDL 120731, HEMOCUE GLUCOSE 201 RT MICROCURETTES MDL 110712
Manufacturer
Date Cleared
2006-09-06

(169 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The HemoCue Glucose 201 RT system is used for quantitative determination of glucose in whole blood supplementing the clinical evidence in the diagnosis and treatment of patients with diabetes. The HemoCue Glucose 201 RT system is for In Vitro Diagnostic use only. The HemoCue Glucose 201 RT Analyzer is only to be used with HemoCue Glucose 201 RT Microcuvettes. For professional use only.
Device Description
The HemoCue Glucose 201 RT system consists of a small and portable analyzer (photometer) and plastic microcuvettes. The HemoCue Glucose 201 RT Microcuvette contains reagents deposited on its inner walls and serves both as a pipette and as a measuring cuvette. A blood sample of approximately 4 uL is drawn into the cavity by capillary action. The filled microcuvette is inserted into the HemoCue Glucose 201 RT Analyzer. The measurement takes place in the analyzer in which the transmittance is measured and the absorbance and glucose level is calculated.
More Information

Not Found

No
The description details a photometric system that measures transmittance and calculates glucose levels based on chemical reactions and light absorption, with no mention of AI or ML algorithms.

No
The device is for In Vitro Diagnostic use only, meaning it measures substances in samples from the body to aid in diagnosis and treatment, but it does not directly treat or alter the body.

Yes

The device is used for the "quantitative determination of glucose in whole blood supplementing the clinical evidence in the diagnosis and treatment of patients with diabetes," and is explicitly stated as "for In Vitro Diagnostic use only."

No

The device description explicitly states the system consists of a portable analyzer (photometer) and plastic microcuvettes, which are hardware components.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "The HemoCue Glucose 201 RT system is for In Vitro Diagnostic use only."
  • Nature of the Test: The device performs a "quantitative determination of glucose in whole blood." This is a laboratory test performed on a biological sample (blood) outside of the body, which is the definition of an in vitro diagnostic test.
  • Device Description: The description details how the device analyzes a blood sample using reagents and a photometer, further confirming its function as an in vitro diagnostic tool.

N/A

Intended Use / Indications for Use

The HemoCue Glucose 201 RT system is used for quantitative determination of glucose in whole blood supplementing the clinical evidence in the diagnosis and treatment of patients with diabetes. The HemoCue Glucose 201 RT system is for In Vitro Diagnostic use only. The HemoCue Glucose 201 RT Analyzer is only to be used with HemoCue Glucose 201 RT Microcuvettes. For professional use only.

Product codes

LFR

Device Description

The HemoCue Glucose 201 RT system consists of a small and portable analyzer (photometer) and plastic microcuvettes. The HemoCue Glucose 201 RT Microcuvette contains reagents deposited on its inner walls and serves both as a pipette and as a measuring cuvette. A blood sample of approximately 4 uL is drawn into the cavity by capillary action. The filled microcuvette is inserted into the HemoCue Glucose 201 RT Analyzer. The measurement takes place in the analyzer in which the transmittance is measured and the absorbance and glucose level is calculated.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

professional use only. / in clinical laboratory settings and point of care centers

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)

Studies were conducted in-house, in clinical laboratory settings and point of care centers to demonstrate the performance of the HemoCue Glucose 201 RT system and that the intended user can easily operate the system and obtain results as expected.

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

Not Found

Predicate Device(s)

K020935

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.

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K060765

SEP -6 2006

5.0 510(k) Summary

| Submitter: | HemoCue AB
Box 1204
Ängelholm, Sweden SE-262 23

+46 431 45 82 00 (Telephone)
+46 431 45 82 25 (FAX) |
|----------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact: | Mr. Allan White (Official Correspondent)
HemoCue, Inc.
40 Empire Drive
Lake Forest, CA 92630-2244
(800) 881-1611 x110 (Telephone)
(949) 859-3066 (FAX)
allan@hemocue.com |
| Date of Preparation: | March 17, 2006 |
| Proprietary Name: | HemoCue Glucose 201 RT system |
| Classification Name: | Glucose Dehydrogenase, Glucose test system (21 CFR §
862.1345), Product code: LFR |
| Common Name: | HemoCue Glucose 201 RT system |
| Equivalent to: | HemoCue AB claims substantial equivalence to the current legally
marketed HemoCue Glucose 201 system (K020935) |

Description

The HemoCue Glucose 201 RT system consists of a small and portable analyzer (photometer) and plastic microcuvettes. The HemoCue Glucose 201 RT Microcuvette contains reagents deposited on its inner walls and serves both as a pipette and as a measuring cuvette. A blood sample of approximately 4 uL is drawn into the cavity by capillary action. The filled microcuvette is inserted into the HemoCue Glucose 201 RT Analyzer. The measurement takes place in the analyzer in which the transmittance is measured and the absorbance and glucose level is calculated.

Intended use

The HemoCue Glucose 201 RT system is used for quantitative determination of glucose in whole blood supplementing the clinical evidence in the diagnosis and treatment of patients with diabetes. The HemoCue Glucose 201 RT system is for In Vitro Diagnostic use only. The HemoCue Glucose 201 RT Analyzer is only to be used with HemoCue Glucose 201 RT Microcuvettes. For professional use only.

Technological Characteristics

The technological characteristics for HemoCue Glucose 201 RT system are equivalent to the predicate device. The system consists of an analyzer together with microcuvettes. The microcuvette serves both as a pipette and as a measuring cuvette and is for single-use only. A

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blood sample of approximatly 4 µL is drawn into the cavity by capillary action. The chemical reaction in the cavity of the HemoCue Glucose 201 RT microcuvettes has two phases, hemolysis and the glucose reaction. The glucose reaction is a modified glucose dehydrogenase method in which a tetrazolium salt (MTT) is used to obtain a quantification of glucose in visible light. B-D-glucose is transformed to B-D-glucose using mutarotase. Glucose dehydrogenase acts as a catalyst for the oxidation of B-D-glucose, to form NADH, which in the presence of diaphorase produces a colored formazan with MTT. The measurement takes place in the analyzer in which the transmittance is measured and the absorbance and glucose level is calculated. The calibration of the HemoCue Glucose 201 RT system is traceable to the ID GC-MS method. The HemoCue Glucose 201 RT is factory calibrated and needs no further calibration.

ClaimSimilarities
Intended useThe HemoCue Glucose 201 RT and HemoCue Glucose 201 systems
are designed for quantitative determination of glucose in whole
blood (capillary, venous or arterial blood). Both devices are for
professional use only. Both devices are for In Vitro Diagnostic use
only.
Test principleModified glucose dehydrogenase reaction
ResultQuantitative
PositioningPoint of Care
Operating
temperature59°F - 86°F(15°C - 30°C)
LabelingEqual Directions For Use
Labeling
expected resultsFasting glucose values (reference interval): Plasma glucose, adults
74-106 mg/dL (4.5-5.9 mmol/L).
For diagnosis of diabetes mellitus, follow local recommendations or
use the following value according to WHO and ADA: Fasting
plasma glucose, capillary or venous ≥126 mg/dL (≥7.0 mmol/L).
Quality control
testingNo external quality control testing is necessary. The systems have an
internal self-test.

Assessment of Performance

Studies were conducted in-house, in clinical laboratory settings and point of care centers to demonstrate the performance of the HemoCue Glucose 201 RT system and that the intended user can easily operate the system and obtain results as expected.

Conclusion

The HemoCue Glucose 201 RT system is a convenient method for measuring blood glucose and can be used by typical users and provide clinical results comparable to other test methods in current clinical laboratory and point-of-care practices.

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Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" are arranged in a circular pattern around the eagle. The logo is black and white and has a simple, clean design.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

HemoCue AB c/o Mr. Allan White Quality System Manager HemoCue, Inc. 40 Empire Dr. Lake Forest, CA 92630-2244

SEP - 6 2006

Re: K060765

Trade/Device Name: HemoCue® Glucose 201 RT system Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: Class II Product Code: LFR Dated: August 14, 2006 Received: August 14, 2006

Dear Mr. White:

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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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,

Alberto Gutierrez, Ph.D.

Alberto Gutierrez, Ph.D. Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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510(k) Number: K060765

Device Name: HemoCue® Glucose 201 RT system

Indications For Use:

The HemoCue Glucose 201 RT system is used for quantitative determination of glucose in whole blood supplementing the clinical evidence in the diagnosis and treatment of patients with diabetes. The HemoCue Glucose 201 RT system is for In Vitro Diagnostic use only. The HemoCue Glucose 201 RT Analyzer is only to be used with HemoCue Glucose 201 RT Microcuvettes. For professional use only.

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

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Division Sign-Off

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K060765

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