K Number
K093262
Device Name
AG-608 BLOOD GLUCOSE MONITORING SYSTEM AND AG-610 BLOOD GLUCOSE MONITORING SYSTEM
Date Cleared
2010-07-13

(267 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
AG-608, AG-610 Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood from the finger only. Testing is done outside the body (In Vitro diagnostic use). It is indicated for both lay uses by people with diabetes and in a clinical setting by health care professionals, as an aid to monitoring levels in Diabetes Mellitus. Not for use on neonates. It is not intended for the diagnosis of or screening for diabetes mellitus.
Device Description
AG-608, AG-610 Blood Glucose Monitoring System consists of a blood glucose meter, test strips, lancets, lancing device and the control solutions (available if user requests). The AG-608, AG-610 blood Glucose Monitoring system is based on an electrochemical biosensor technology(electrochemical) and the principle of capillary action. Capillary action at the end of the test strip draws the blood into the action chamber and the blood glucose result is displayed in 5 seconds. The control solution available are used to test the performance of the device.
More Information

Not Found

No
The description focuses on electrochemical biosensor technology and standard performance testing, with no mention of AI or ML.

No
The device is used for monitoring blood glucose levels, which is a diagnostic aid, not a therapeutic intervention. It helps manage diabetes but does not treat the condition directly.

No

The device is explicitly stated as "Not intended for the diagnosis of or screening for diabetes mellitus."

No

The device description explicitly lists hardware components such as a blood glucose meter, test strips, lancets, and a lancing device, indicating it is not solely software.

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

The "Intended Use / Indications for Use" section explicitly states: "Testing is done outside the body (In Vitro diagnostic use)." This is the defining characteristic of an IVD.

N/A

Intended Use / Indications for Use

AG-608, AG-610 Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood from the finger only. Testing is done outside the body (In Vitro diagnostic use). It is indicated for both lay uses by people with diabetes and in a clinical setting by health care professionals, as an aid to monitoring levels in Diabetes Mellitus. Not for use on neonates. It is not intended for the diagnosis of or screening for diabetes mellitus.

Product codes

NBW, CGA, JJX

Device Description

AG-608, AG-610 Blood Glucose Monitoring System consists of a blood glucose meter, test strips, lancets, lancing device and the control solutions (available if user requests).

The AG-608, AG-610 blood Glucose Monitoring system is based on an electrochemical biosensor technology(electrochemical) and the principle of capillary action. Capillary action at the end of the test strip draws the blood into the action chamber and the blood glucose result is displayed in 5 seconds. The control solution available are used to test the performance of the device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fresh capillary whole blood from the finger

Indicated Patient Age Range

Not for use on neonates.

Intended User / Care Setting

lay uses by people with diabetes and in a clinical setting by health care professionals

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)

Non-clinical test and the clinical test are done according to the ISO 15197: In vitro diagnostic test systems- Requirements for blood-glucose monitoring systems for self-testing in managing diabetes mellitus.

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

Not Found

Predicate Device(s)

K073030

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.

0

K09 3262

JUL 1 3 2010

510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement of SMDA and 21 CFR 807.92.

1.0 submitter's information

Andon Medical Co., Ltd. Name: No.04-23-3 AIRPORT INDUSTRIAL PARK, TIANJIN Address: 86-22-8761 2426 Phone number: Fax number: 86-22-6052 6162 Contact: Yi Liu Date of Application: 09/30/2009

2.0 Device information

| Trade name: | AG-608 Blood Glucose Monitoring System
AG-610 Blood Glucose Monitoring System |
|----------------------|----------------------------------------------------------------------------------|
| Common name: | Blood Glucose Monitoring System |
| Classification name: | Blood Glucose Monitoring System |

3.0 Classification

Production code: NBW- Blood Glucose Monitoring System. Requlation number: 862.1345 Classification: II Panel: Clinical Chemistry

4.0 Predict device information

Manufacturer: Andon Health Co., Ltd. Device: AG-606 Blood Glucose Monitoring System 510(k) number: K073030

5.0 Device description

AG-608, AG-610 Blood Glucose Monitoring System consists of a blood glucose meter, test strips, lancets, lancing device and the control solutions (available if user requests).

The AG-608, AG-610 blood Glucose Monitoring system is based on an electrochemical biosensor technology(electrochemical) and the principle of capillary action. Capillary action at the end of the test strip draws the blood

5- 1

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into the action chamber and the blood glucose result is displayed in 5 seconds. The control solution available are used to test the performance of the device.

6.0 Intended use

AG-608, AG-610 Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood from the finger only. Testing is done outside the body (In Vitro diagnostic use). It is indicated for both lay uses by people with diabetes and in a clinical setting by health care professionals, as an aid to monitoring levels in Diabetes Mellitus. Not for use on neonates. It is not intended for the diagnosis of or screening for diabetes mellitus.

7.0 Summary comparing technological characteristics with predicate device

Similarities
CHARACTERISTICSNEW DEVICE:
AG-608 Blood Glucose
Monitoring SystemPREDICATE:
AG-606 Blood Glucose
Monitoring System
(K073030)
Detection MethodAmperometryAmperometry
EnzymeGlucose OxidaseGlucose Oxidase
Type of MeterBiosensor (Electrode)Biosensor (Electrode)
Intended UseTo quantitatively measure glucose
in fresh capillary whole blood.To quantitatively measure glucose
in fresh capillary whole blood.
Sample SourceCapillary whole bloodCapillary whole blood
Sample ApplicationBlood sample is placed directly to
the test strip after finger is lanced.Blood sample is placed directly to
the test strip after finger is lanced.
Hematocrit Range30-55%30-55%
Operating Temperature
Range10℃~40℃(50°-104°F)10℃~40℃(50°-104°F)
Dimensions85mmx 53mmx 13. 7mm82mmx 59mmx 20mm
DisplayLCDLCD
Result Presentationmg/dL or mmol/Lmg/dL or mmol/L
Memory Capabilities350 times with time and date
displaying350 times with time and date
displaying
Test StartAutomaticAutomatic
Test Time5 second5 second
Power SourceDC 3V (CR2032)DC 3V (2 AAA)
Battery LifeApprox. 1000 normal testsApprox. 1000 normal tests

2

| Measurement Range | 20mg/dL-600mg/dL
(1.1mmol/L33.3mmol/L) | 20mg/dL-600mg/dL
(1.1mmol/L
33.3mmol/L) |
|----------------------|--------------------------------------------|--------------------------------------------|
| Qualified Test Strip | AGS-1000 Test Strip | AGS-600 Test Strip |
| Sample Volume | Minimum 0.7 microliter | Minimum 1 microliter |
| Other function | Code bottle | N/A |

NEW DEVICE:.PREDICATE:
CHARACTERISTICSAG-610 Blood Glucose
Monitoring SystemAG-606 Blood Glucose
Monitoring System
(K073030)
Detection MethodAmperometryAmperometry
EnzymeGlucose OxidaseGlucose Oxidase
Type of MeterBiosensor (Electrode)Biosensor (Electrode)
Intended UseTo quantitatively measure glucose
in fresh capillary whole blood.To quantitatively measure glucose
in fresh capillary whole blood.
Sample SourceCapillary whole bloodCapillary whole blood
Sample ApplicationBlood sample is placed directly to
the test strip after finger is lanced.Blood sample is placed directly to
the test strip after finger is lanced.
Hematocrit Range30-55%30-55%
Operating Temperature Range10℃~40℃(50°-104°F)10℃~40℃(50°-104°F)
Dimensions134mmx 64mmx 43mm82mmx 59mmx 20mm
DisplayLCDLCD
Result Presentationmg/dL or mmol/Lmg/dL or mmol/L
Memory Capabilities350 times with time and date
displaying350 times with time and date
displaying
Test StartAutomaticAutomatic
Test Time5 second5 second
Power SourceDC3V (2XAAA batteries)DC 3V (2 AAA)
Battery LifeApprox. 1000 normal testsApprox. 1000 normal tests
Measurement Range20mg/dL-600mg/dL
(1.1mmol/L~33.3mmol/L)20mg/dL-600mg/dL
(1.1mmol/L~33.3mmol/L)
Qualified Test StripAGS-1000 Test StripAGS-600 Test Strip
Sample VolumeMinimum 0.7 micro literMinimum 1 microliter
Other functionCode bottleN/A

.

and the same of the same of the same

:

.

.

.

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8.0 Performance summary

AG-608, AG-610 blood glucose monitoring system conform to the following standards:

  • · ISO 15197: In vitro diagnostic test systems- Requirements for blood-glucose monitoring systems for self-testing in managing diabetes mellitus.
    Non-clinical test and the clinical test are done according to the above standard.

9.0 Comparison to the predict device and the conclusion

AG-608 and AG-610 is very similar with the predicted device AG-606, However, their appearance is different from AG-606, they use the different test strips, they also has a code button.

However, the test in this submission provides demonstration that these small differences do not raise any new questions of safety and effectiveness.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/4/Picture/2 description: The image shows the seal of the Department of Health & Human Services - USA. The seal features the department's name arranged in a circular pattern around the perimeter. In the center is a stylized symbol, possibly representing human services or health, with three abstract figures connected in a flowing design.

Andon Medical Co., Ltd c/o Mr. Yi Liu 156 Floor Building C No.3 Jin Ping Street Nankai District Tianjin, China 300190

Re: K093262

Trade name: AG-608 Blood Glucose Monitoring System AG-610 Blood Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose Test System Regulatory Class: Class II Product Code: NBW, CGA, JJX Dated: June 25, 2010 Received: June 25, 2010

Food & Drug Administration 10903 New Hampshire Avenue Building 66 Silver Spring, MD 20993

JUL 1 3 2010

Dear Mr. Liu:

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 (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).

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Page 2

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 (301) 796-5450. 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 (301) 796-5760. For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 ) 796-5680 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Courtney C. Harper, 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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Indication for Use

510(k) Number (if known): K 093 2 ماء

Device Name: AG-608 Blood Glucose Monitoring System AG-610 Blood Glucose Monitoring System

Indication For Use:

AG-608, AG-610 Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood from the finger only. Testing is done outside the body (In Vitro diagnostic use). It is intended for use by healthcare professionals and people with diabetes mellitus at home as an aid in monitoring the effectiveness of a diabetes control program. Not for use on neonates. It is not intended for the diagnosis of or screening for diabetes mellitus.

Prescription Use Yes (21 CFR Part 801 Subpart D) Over the Counter Use Yes (21 CFR Part 801 Subpart C)

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

And/Or

Concurrence of CDRH, Office of In Vitro Diagnostic Device Evaluation and Safety (OIVD)

Carol C Benam

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

510(k) K093262

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