K Number
K083549
Device Name
ABT GLUCOSE CONTROL SOLUTION
Date Cleared
2008-12-22

(21 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For in vitro diagnostic use (i.e. for external use only) by healthcare professionals and in the home by people with diabetes mellitus to assess the performance of the FreeStyle and FreeStyle Lite Blood Glucose Monitors.
Device Description
The AbT Glucose Control Solution consists of a viscosity-adjusted, aqueous liquid control solution containing a known quantity of glucose. The product is packaged in plastic dropper tipped bottles for easy application of the control solutions to the test strips and a red coloration to aid the user to visually confirm application of the control. The product is nonhazardous and contains no human or animal derived materials.
More Information

Not Found

No
The device description and performance studies focus on the chemical composition and stability of a glucose control solution, with no mention of AI or ML technologies.

No.
The device is described as a control solution for assessing the performance of blood glucose monitors, not for treating a condition.

No
The device is a control solution used to assess the performance of blood glucose monitors, not to diagnose a medical condition in a patient.

No

The device description clearly states it is an "aqueous liquid control solution" packaged in "plastic dropper tipped bottles," indicating it is a physical product, not software.

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

The "Intended Use / Indications for Use" section explicitly states: "For in vitro diagnostic use".

N/A

Intended Use / Indications for Use

The AbT Glucose Control Solution is intended for in vitro diagnostic use (i.e. for external use only) by healthcare professionals and in the home by people with diabetes mellitus to assess the performance of FreeStyle and FreeStyle Lite Blood Glucose Monitor.

Product codes

75 JJX, JJX

Device Description

The AbT Glucose Control Solution consists of a viscosity-adjusted, aqueous liquid control solution containing a known quantity of glucose. The product is packaged in plastic dropper tipped bottles for easy application of the control solutions to the test strips and a red coloration to aid the user to visually confirm application of the control. The product is nonhazardous and contains no human or animal derived materials.

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

healthcare professionals and in the home by people with diabetes mellitus

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

Tests were performed to verify specific performance characteristics:

  1. Stability
  2. Open Vial
  3. Mean and Variance Comparison

Key Metrics

Not Found

Predicate Device(s)

K031260, K060481

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1660 Quality control material (assayed and unassayed).

(a)
Identification. A quality control material (assayed and unassayed) for clinical chemistry is a device intended for medical purposes for use in a test system to estimate test precision and to detect systematic analytical deviations that may arise from reagent or analytical instrument variation. A quality control material (assayed and unassayed) may be used for proficiency testing in interlaboratory surveys. This generic type of device includes controls (assayed and unassayed) for blood gases, electrolytes, enzymes, multianalytes (all kinds), single (specified) analytes, or urinalysis controls.(b)
Classification. Class I (general controls). Except when intended for use in donor screening tests, quality control materials (assayed and unassayed) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

0

KCJ3549

510(k) Summary 5.

DEC 2 2 2008

  • 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. Submitter: American Biological Technologies, Inc. (AbT) 940 Crossroads Blvd Seguin, TX 78155 (830) 372-1391 ex. 210 Establishment Registration Number: 1643621 Contact Person: John C. Gormley Device Name: AbT Glucose Control Solution Common Name: Single Analyte Control Solution, All Types (Assayed and Unassayed) Classification Name: Quality Control Material (assayed and unassayed). Classification: Class I per 21 CFR 862.1660 Product Code: 75 JJX Panel: Chemistry Predicate Devices: Name: Freestyle Control Solution Manufacturer: Abbott Diabetes Care, Inc. 510(k) No.: K031260 Name: Liberty Glucose Control Manufacturer: Liberty Healthcare Group K060481 510(k) No.: Device Description: The AbT Glucose Control Solution consists of a viscosity-adjusted, aqueous liquid control solution containing a known quantity of glucose. The product is packaged in plastic dropper tipped bottles for easy application of the control solutions to the test strips and a red coloration to aid the user to visually confirm application of the control. The product is nonhazardous and contains no human or animal derived materials.

1

Intended Use: The AbT Glucose Control Solution is intended for in vitro diagnostic use (i.e. for external use only) by healthcare professionals and in the home by people with diabetes mellitus to assess the performance of FreeStyle and FreeStyle Lite Blood Glucose Monitor.

Comparison to Predicate Device:

| Characteristic/

AspectPredicate Device No. 1Predicate Device No. 2New Product
NameFreeStyle Control SolutionLiberty Glucose ControlAbT Glucose Control
Solution
510(k), DateK031260, 12/19/2003K060481, 3/09/2006
Number of
Levels111
AnalyteGlucoseGlucoseGlucose
Target (mg/dL)888888
Target Range
(mg/dL)80 - 130(1)80 - 130(2)80 - 130
ContainerPlastic bottle with dropper-
tipPlastic bottle with
dropper-tipPlastic bottle with
dropper-tip
Fill Volume4.0 mL3.6 mL3.6 mL
ColorRedRedRed
MatrixBuffered aqueous solution
of D-Glucose, viscosity
modifier, preservatives, and
other non-reactive
ingredientsBuffered aqueous
solution of D-Glucose, a
viscosity modifier,
preservatives, and other
non-reactive ingredientsIdentical to Predicate
2 which is
manufactured by
AbT.
Indications for
UseFor use with the FreeStyle
blood glucose monitoring
system in order to ensure
that the FreeStyle meter and
FreeStyle test strips are
working properly.Used to check the
performance of
FreeStyle Blood
Glucose Systems.Used to check the
performance of
FreeStyle and
FreeStyle Lite Blood
Glucose Systems.
Target
PopulationProfessional and home useProfessional and home
useProfessional and
home use

(1) Estimated using published control ranges assigned by the manufacturer for several lots of FreeStyle Lite test strips.

(2)AbT's target range for the Liberty Glucose Control.

2

Performance Studies: Tests were performed to verify specific performance characteristics:

    1. Stability -
      1. Open Vial
      1. Mean and Variance Comparison

Conclusion: Comparison of the performance characteristics, formulation and intended use support the claim of substantial equivalence.

3

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 seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle or bird-like figure with outstretched wings.

Re:

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

American Biological Technologies, Inc. c/o John Gormley Director of Quality and Regulatory Affairs 940 Crossroads Blvd. Seguin, TX 78155

DEC 2 2 2008

K083549 Trade Name: AbT Glucose Control Solution Regulation Number: 21 CFR 862.1660 Regulation Name: Quality Control Material (assayed and unassayed). Regulatory Class: Class I, reserved Product Codes: JJX Dated: December 1, 2008 Received: December 1, 2008

Dear Mr. Gormley:

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, Or vo 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 (240) 276-0490. 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 tollogy and (800) 638-2041 or (240) 276-3150 or at its Internet address at http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Jean M. Cooper, M.S., D.V.M.

Jean M. Cooper, M.S., D.V.M. 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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  1. Indications for Use Statement
    510(k) Number (if known): K083549

AbT Glucose Control Solution Device Name:

Indications for Use:

For in vitro diagnostic use (i.e. for external use only) by healthcare professionals and in the home by people with diabetes mellitus to assess the performance of the FreeStyle and FreeStyle Lite Blood Glucose Monitors.

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

Over-The-Counter Use (21 CFR Part 807 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)

Carol C. Benson

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

510(k) K083549