K Number
K090854
Device Name
ABT GLUCOSE CONTROL SOLUTION, MODEL 2120090
Date Cleared
2009-04-16

(17 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 Contour TS Blood Glucose Monitor.
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 control solution, with no mention of AI or ML.

No
The device is a control solution for assessing the performance of a blood glucose monitor, not for treating a disease or condition.

No

The device is a control solution used to assess the performance of a blood glucose monitor, not to diagnose a condition itself.

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).

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" explicitly states "For in vitro diagnostic use".
  • Device Description: The description details a "control solution" used to "assess the performance of the Contour TS Blood Glucose Monitor". Control solutions for blood glucose monitors are a common type of IVD used to verify the accuracy of the testing system.
  • Predicate Devices: The listed predicate devices are also control solutions for blood glucose monitoring, further confirming its classification as an IVD.

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 Bayer CONTOUR TS Blood Glucose Monitor.

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 Contour TS Blood Glucose Monitor.

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

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Tests were performed to verify specific performance characteristics:

  1. Accelerated Stability
  2. Open Vial
  3. Test precision

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

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.

K023657, K081915

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

§ 862.1660 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

Kogorsy/

510(k) Premarket Notification: AbT Glucose Control Solution American Biological Technologies, Inc. 。

.

APR 1 6 2009

5 510(k) Summary

| 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.
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:
Manufacturer:
510(k) No.: | Contour TS Control Solution
Normal
Bayer Healthcare
K023657 |
| | Name:
Manufacturer:
510(k) No.: | FDTX Glucose Control Solution
American Biological
Technologies, Inc.
K081915 |
| 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 | |

1

application of the control. The product is nonhazardous and contains no human or animal derived materials.

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 Bayer CONTOUR TS Blood Glucose Monitor.

Comparison to Predicate Devices:

| Characteristic/
Aspect | Predicate Device No.
1 | Predicate Device No.
2 | New Product |
|---------------------------|------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------|
| Name | Contour TS Control
Solution Normal | FDTX Glucose Control
Solution | AbT Glucose Control
Solution |
| 510(k), Date | K023657
05/12/2003 | K081915
08/08/2008 | |
| Number of
Levels | 1 | 1 | 1 |
| Analyte | Glucose | Glucose | Glucose |
| Target Range
(mg/dL) | 99 - 142(1) | 100 - 145(2) | 100 - 145 |
| Container | Plastic bottle with
dropper-tip | Plastic bottle with
dropper-tip | Plastic bottle with
dropper-tip |
| Fill Volume | 2.5 mL | 3.6 mL | 3.6 mL |
| Color | Red | Red | Red |
| Matrix | Aqueous solution which
contains a measured
amount of glucose. | Buffered aqueous
solution of D-Glucose,
a viscosity modifier,
preservatives, and
other non-reactive
ingredients | Buffered aqueous solution
of D-Glucose, a viscosity
modifier, preservatives,
and other non-reactive
ingredients |
| Indications for
Use | For self testing by
people with diabetes
and by healthcare
professionals as a
quality control check. | To check the
performance of the
Ascensia Contour
Blood Glucose System. | To check the performance
of the Contour TS Blood
Glucose System. |
| Target
Population | Professional and home
use | Professional and home
use | Professional and home
use |

(1) Estimated from published control ranges assigned by the manufacturer for several lots of Contour TS test strips.

(2) From K081915

2

510(k) Premarket Notification: AbT Glucose Control Solution American Biological Technologies, Inc.

,

Performance Studies: characteristics:

Tests were performed to verify specific performance

.

  • ് 1. Accelerated Stability
    1. Open Vial
    1. Test precision

Conclusion:

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

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird symbol, with its wings spread and head turned to the side. The bird is enclosed within a circular border, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the upper portion of the circle.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

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

APR 1 6 2009

K090854 Re:

Trade/Device 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 Code: JJX Dated: March 30, 2009 Received: March 30, 2009

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, 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 (OS) regulation (21 CFR Part 820).

4

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,

Corg C. He

Courtney C. Harper, Ph.D. Acting Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

5

510(k) Premarket Notification: AbT Glucose Control Solution American Biological Technologies, Inc.

4 Indications for Use Statement

510(k) Number (if known):

Device Name: AbT Glucose Control Solution

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 Contour TS Blood Glucose Monitor.

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)

Lucy Phillips

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K090854