K Number
K090943
Device Name
ABT GLUCOSE CONTROL SOLUTION, MODEL: 2120089
Date Cleared
2009-05-27

(54 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 Agamatrix WaveSense Presto 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. It is packaged in a plastic dropper tipped bottle for easy application of the control solution 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 intended use clearly define a glucose control solution, which is a chemical reagent used to verify the accuracy of a blood glucose monitor. There is no mention of any computational or algorithmic processing, let alone AI/ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No
The document describes a control solution for testing a blood glucose monitor, which is an in vitro diagnostic device used to check the accuracy of the monitor, not to treat a medical condition.

Yes

This device is for "in vitro diagnostic use" to assess the performance of a blood glucose monitor, which is itself a diagnostic device. The control solution helps verify the accuracy of the diagnostic measurements.

No

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

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

Here's why:

  • Explicitly stated in the Intended Use: The very first line of the "Intended Use / Indications for Use" section clearly states: "For in vitro diagnostic use".
  • Purpose of the device: The device is a "Glucose Control Solution" used to "assess the performance of the Agamatrix WaveSense Presto Blood Glucose Monitor". This means it's used in vitro (outside the body) to check the accuracy and functionality of another diagnostic device (the blood glucose monitor).
  • Nature of the device: It's a liquid control solution containing a known quantity of glucose, designed to be applied to test strips. This is a typical characteristic of a control material used in in vitro diagnostic testing.

Therefore, based on the provided information, this device fits the definition of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The AbT Glucose Control Solution is intended for in vitro diagnostic use by healthcare professionals and in the home by people with diabetes mellitus to assess the performance of the WaveSense Presto Blood Glucose Monitoring System.

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 Agamatrix WaveSense Presto 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. It is packaged in a plastic dropper tipped bottle for easy application of the control solution 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: Stability, Open Vial Stability, Test Precision
Sample size: Not Found
AUC: Not Found
MRMC: Not Found
Standalone performance: Not Found
Key results: Comparison of the performance characteristics, formulation and intended use support the claim of substantial equivalence.

Key Metrics

Not Found

Predicate Device(s)

K052762, K063855

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

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K090943

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| 5

510(k) SummaryMAY 27 2009
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
American Biological Technologies, Inc.
940 Crossroads Blvd
Seguin, TX 78155
(830) 372-1391 ex. 210
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:WaveSense Normal Control
Solution
Manufacturer:
510(k) No.:AgaMatrix, Inc.
K052762
Name:
Manufacturer:
510(k) No.:Liberty Normal Control Solution
Liberty Healthcare Group, Inc.
K063855
Device Description:The AbT Glucose Control Solution consists of a
viscosity-adjusted, aqueous liquid control solution
containing a known quantity of glucose. It is
Characteristic/
AspectPredicate Device No.
1Predicate Device
No. 2New Product
NameWaveSense Normal
Control SolutionLiberty Normal
Control SolutionAbT Glucose
Control Solution
510(k), DateK052762, 01/23/2006K063855, 02/01/2007
Number of Levels111
AnalytesGlucoseGlucoseGlucose
ContainerPlastic bottle withPlastic bottle withPlastic bottle with
Fill Volumedropper-tip
6 mLdropper tip
3.6 mLdropper tip
3.6 mL
ColorBlueRedRed
Target108 - 159(1)94 - 147(2)95 - 145
MatrixBuffered aqueous
solution of D-Glucose,
viscosity modifier,
preservatives, and
other non-reactive
ingredientsBuffered aqueous
solutions of D-
Glucose, viscosity
modifiers,
preservatives, and
other non-reactive
ingredientsBuffered aqueous
solutions of D-
Glucose, viscosity
modifiers,
preservatives, and
other non-reactive
ingredients
Indications for UseUsed with the
WaveSense-enabled
Blood Glucose Meter
and WaveSense Test
Strips to ensure that
the meter and test
strips are working
together properly.Used to check the
performance of
Liberty Blood
Glucose Monitoring
System.Used to check the
performance of
AgaMatrix
WaveSense Presto
Glucose Monitoring
System.
Target PopulationProfessional and
home useProfessional and
home useProfessional and
home use

1

packaged in a plastic dropper tipped bottle for easy application of the control solution 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.

The AbT Glucose Control Solution is intended for in Intended Use: vitro diagnostic use by healthcare professionals and in the home by people with diabetes mellitus to assess the performance of the WaveSense Presto Blood Glucose Monitoring System.

Comparison to Predicate Device:

(1)Estimated from WaveSense Presto test strip lots published ranges.

(2)Estimated from Liberty Normal Control Solution published control ranges.

2

Performance Studies:Tests were performed to verify specific performance characteristics:
--------------------------------------------------------------------------------------------
    1. Stability
  • . 2. Open Vial Stability
    • 3. 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 and Human Services. The logo consists of a stylized eagle with three stripes forming its body and wing. The eagle faces to the right. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" in a circular arrangement.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAY 27 2009

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

Re: K090943

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: May 5, 2009 Received: May 11, 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); medical device reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

4

Paqe - 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 advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (240) 276-0450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrh/mdr/.

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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

C.H.

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

Enclosure

5

Indications for Use Statement 4

510(k) Number (if known): K

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 Agamatrix WaveSense Presto Blood Glucose Monitor.

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

Division Sign-Off

510(k) K090943

Office of In Vitro Diagnostic Device Evaluation and Safety