K Number
K112289
Device Name
DISPOSABLE THERMOMETER COVERS AND SHEATHS
Date Cleared
2011-12-16

(129 days)

Product Code
Regulation Number
880.2910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Disposable Thermometer Covers and Sheaths are intended for use as barriers between digital or mercury thermometers and users' rectum or oral cavities to avoid the possible contamination and infection during temperature measuring. These covers and sheaths are non-sterile and intended for single use only.
Device Description
The Disposable Thermometer Covers and Sheaths, made of PE and EVA, are used for either oral or rectal measurements for digital or mercury thermometers. The products and packaging are non-sterile and are not made with natural rubber latex. The size may vary to accommodate differences in digital and mercury thermometers. The inner packing material is paper, while the outer packing material is carton. Each outer packing contains 100 pieces of covers and sheaths.
More Information

Not Found

No
The device is a simple physical barrier (thermometer cover/sheath) and the description focuses on materials, intended use as a barrier, and physical properties. There is no mention of any computational or analytical functions that would involve AI/ML.

No
The device is a barrier for contamination, not a device that treats, diagnoses, cures, or mitigates a disease or condition.

No

The device, Disposable Thermometer Covers and Sheaths, is intended to be a barrier for hygiene and contamination control during temperature measurement, not to diagnose a medical condition.

No

The device description clearly states the device is made of physical materials (PE and EVA) and is a physical barrier (covers and sheaths) for thermometers, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Disposable Thermometer Covers and Sheaths are physical barriers used with thermometers. Their purpose is to prevent contamination and infection during temperature measurement. They do not analyze any biological samples or provide diagnostic information themselves.
  • Intended Use: The intended use clearly states they are "intended for use as barriers... to avoid the possible contamination and infection during temperature measuring." This is a protective function, not a diagnostic one.

Therefore, this device falls under the category of a medical device, but not specifically an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Disposable Thermometer Covers and Sheaths are intended for use as barriers between digital or mercury thermometers and users' rectum or oral cavities to avoid the possible contamination and infection during temperature measuring. These covers and sheaths are non-sterile and intended for single use only.

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

FLL, FLK

Device Description

The Disposable Thermometer Covers and Sheaths, made of PE and EVA, are used for either oral or rectal measurements for digital or mercury thermometers. The products and packaging are non-sterile and are not made with natural rubber latex. The size may vary to accommodate differences in digital and mercury thermometers. The inner packing material is paper, while the outer packing material is carton. Each outer packing contains 100 pieces of covers and sheaths.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

rectum or oral cavities

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

The Disposable Thermometer Covers and Sheaths were tested and found to meet the standards of ISO 10993-5: 1999: Tests for cytotoxicity: In vitro methods, ISO 10993-10: 2002: Tests for Irritation and Sensitization, ASTM E1104-98(2003): Standard Specification for Clinical Thermometer Probe Covers and Sheaths, IEC 62321 Ed. 1: Electrotechnical products - Determination of levels of six regulated substances (lead, mercury, cadmium, hexavalent chromium, polybrominated biphenyls, polybrominated diphenyl ethers), as well as EPA Method 3546 Microwave extraction. The conclusion drawn from the bench testing and safety testing is that the device is as safe and effective as the predicate device. Furthermore, the device complies with the recognized standards and performs its intended tasks as well as or better than the legally marketed predicate devices.

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.

K983406, K061007

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

§ 880.2910 Clinical electronic thermometer.

(a)
Identification. A clinical electronic thermometer is a device used to measure the body temperature of a patient by means of a transducer coupled with an electronic signal amplification, conditioning, and display unit. The transducer may be in a detachable probe with or without a disposable cover.(b)
Classification. Class II (performance standards). The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter, subject to the limitations in § 880.9 and the following conditions for exemption:(1) Device is not a clinical thermometer with telethermographic functions;
(2) Device is not a clinical thermometer with continuous temperature measurement functions; and
(3) Appropriate analysis and testing (such as that outlined in the currently FDA-recognized editions, as appropriate, of ISO 80601-2-56, “Medical electrical equipment—Part 2-56: Particular requirements for basic safety and essential performance of clinical thermometers for body temperature measurement,” or ASTM E1965, “Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature,” or ASTM E1112, “Standard Specification for Electronic Thermometer for Intermittent Determination of Patient Temperature,” or ASTM E1104, “Standard Specification for Clinical Thermometer Probe Covers and Sheaths”) must validate specifications and performance of the device.

0

KANG ZE INDUSTRIAL CO., LTD.

No. 9 Venture Industry Park, Jane Sandbar, Wanjiang Area, Dongguan, Guangdong, China 523063

. Section 5

510(k) Summary

[As required by 21 CFR 807.92]

1. Submission Information:
510(k) Number:K112289
Date:Aug 5th, 2011
Type of 510(k) Submission:Traditional
Basis for 510(k) Submission:New device
Submitter/Manufacturer:KANG ZE INDUSTRIAL CO., LTD.
Office Add.: Room 1701, Henan Building, No. 90 Jaffe Road, Wan Chai, HK
Factory Add.: No. 9 Venture Industry Park, Jane Sandbar, Wanjiang Area, Dongguan,
Guangdong, China 523063
Contactor:Doris Dong
[Consultant, from Shanghai CV Technology Co., Ltd.]
Add.: Room 1706 Yuesha, No. 128 Songle Rd., Songjiang, Shanghai, China 201600
E-mail: doris_d@126.com
Tel: 86 21-31261348
Fax: 86 21-37824346
2. Device Description:
Proprietary Name:Disposable Thermometer Covers and Sheaths
Common Name:Disposable Thermometer Covers and Sheaths
Classification Name:Clinical electronic thermometer / Clinical mercury thermometer
Regulation Number:880.2910 / 880.2920
Product Code:FLL / FLK
Device Class:Class II
Submission Type:510(k)
Review Panel:General Hospital
Indications for use:The Disposable Thermometer Covers and Sheaths are intended for use as
barriers between digital or mercury thermometers and users' rectum or oral
cavities to avoid the possible contamination and infection during temperature
measuring. These covers and sheaths are non-sterile and intended for single use
only.
Device Description:The Disposable Thermometer Covers and Sheaths, made of PE and EVA, are
used for either oral or rectal measurements for digital or mercury thermometers.
The products and packaging are non-sterile and are not made with natural rubber
latex.
The size may vary to accommodate differences in digital and mercury
thermometers.
The inner packing material is paper, while the outer packing material is carton.
Each outer packing contains 100 pieces of covers and sheaths.
3. Substantial Equivalence:

Detailed comparison data is included in "Section 9 - Substantial Equivalence Discussion" of this 510(k)

1

KANG ZE INDUSTRIAL CO., LTD.

KANG ZE INDUSTNTAL CO., LTD.
No. 9 Venture Industry Park, Jane Sandbar, Wanjiang Area, Dongguan, Guangdong, China 523063 submission

Predicate 510(k) Numbers:K983406K061007
Marketing clearance date:October 19th, 1998June 14th, 2006
Product name:SaniTherm Thermometer Sheaths, Oral and Rectal, Digital and MercuryGOOD MEDY Disposable Thermometer Sheaths
Manufacturer:Banta Healthcare ProductsGOOD MEDY ENTERPRISES LTD
Differences:The material and packing specification differ from the Predicate Devices of K983406 and K061007.
Similarities:Same intended use, non-sterile, and similar testing standards.
Equivalence conclusion:The new devices, Disposable Thermometer Covers and Sheaths, are substantially equivalent to the predicate devices: SaniTherm Thermometer Sheaths (K983406) and GOOD MEDY Disposable Thermometer Sheaths (K061007). The devices have same intended use, are non-sterile and latex-free, and passed biocompatibility tests by ISO 10993. Thus the new devices are substantially equivalent to the predicate devices.

4. Safety and Effectiveness of the device:

The Disposable Thermometer Covers and Sheaths were tested and found to meet the standards of

ISO 10993-5: 1999: Tests for cytotoxicity: In vitro methods,

ISO 10993-10: 2002: Tests for Irritation and Sensitization,

ASTM E1104-98(2003): Standard Specification for Clinical Thermometer Probe Covers and Sheaths, IEC 62321 Ed. 1: Electrotechnical products - Determination of levels of six regulated substances (lead, mercury, cadmium, hexavalent chromium, polybrominated biphenyls, polybrominated diphenyl ethers), as well as EPA Method 3546 Microwave extraction.

The conclusion drawn from the bench testing and safety testing is that the device is as safe and effective as the predicate device. Furthermore, the device complies with the recognized standards and performs its intended tasks as well as or better than the legally marketed predicate devices.

2

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a stylized eagle with three lines forming its body and wing. The eagle is facing right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

DEC 1 6 2011

Kang ZE Industrial Company, Limited C/O Ms. Doris Dong Manager Shanghai CV Technology Company Limited RM 1706 Yuesha Building No 128 Songle Road Songjiang Area. Shanghai

Re: K112289

Trade/Device Name: Disposable Thermometer Covers and Sheaths Regulation Number: 21 CFR 880.2910 Regulation Name: Clinical Electric Thermometer Regulatory Class: II Product Code: FLL、FLK Dated: November 18, 2011 Received: November 23, 2011

Dear Ms. Dong:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

3

Page 2- Ms. Dong

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 Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices /yom 1 1 5809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807,97). 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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Anthony D. Watson, B.S., M.S., M.B.A.

Director Division of Anesthesiology, General Hospital. Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Section 4 Indications for Use Statement

510(k) Number (if known); K 112289

Device Name:

Disposable Thermometer Covers and Sheaths

Indications for Use:

The Disposable Thermometer Covers and Sheaths are intended for use as barriers between digital or mercury thermometers and users' rectum or oral cavities to avoid the possible contamination and infection during temperature measuring. These covers and sheaths are non-sterile and intended for single use only.

Prescription Use (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)

Weihny Crn for Richard Chapman
Division Sign Off

Division Sign-Off Division of Surgical, Orthopedic, And Restorative Devices

510(k) Number 112289

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