K Number
K113077
Device Name
BIOLAND G-423 GLOOD GLUCOSE MONITORING SYSTEM
Date Cleared
2012-08-03

(291 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Bioland G-423 BLOOD GLUCOSE MONITORING SYSTEM is intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips. This system is intended to be used by a single person and should not be shared. The Bioland G-423 Blood Glucose Monitoring System is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor the effectiveness of diabetes control. The Bioland G-423 Blood Glucose Monitoring System should not be used for the diagnosis of or screening for diabetes, nor for neonatal use. The Bioland G-423 Test Strips are for use with the Bioland G-423 Blood Glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.
Device Description
The kit of BIOLAND G-423 BLOOD GLUCOSE MONITORING SYSTEM MODEL G-423 consist of: the meter with blood glucose measurement function and test strips. These products have been designed and tested to work together as a system to produce accurate blood glucose test results.
More Information

Not Found

No
The summary describes a standard blood glucose monitoring system and does not mention any AI or ML capabilities. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No.
The device is described as a "Blood Glucose Monitoring System" and is intended for "quantitative measurement of glucose (sugar) in fresh capillary whole blood samples" to "monitor the effectiveness of diabetes control," not to provide treatment.

No
The "Intended Use / Indications for Use" section explicitly states, "The Bioland G-423 Blood Glucose Monitoring System should not be used for the diagnosis of or screening for diabetes..."

No

The device description explicitly states the system consists of a meter and test strips, which are hardware components. While software validation is mentioned, the device is not solely software.

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

The intended use explicitly states: "The Bioland G-423 Blood Glucose Monitoring System is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor the effectiveness of diabetes control."

This statement clearly indicates that the device is designed to be used outside of the body to diagnose or monitor a medical condition, which is the definition of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Bioland G-423 BLOOD GLUCOSE MONITORING SYSTEM is intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips. This system is intended to be used by a single person and should not be shared.

The Bioland G-423 Blood Glucose Monitoring System is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor the effectiveness of diabetes control. The Bioland G-423 Blood Glucose Monitoring System should not be used for the diagnosis of or screening for diabetes, nor for neonatal use.

The Bioland G-423 Test Strips are for use with the Bioland G-423 Blood Glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.

Product codes

CGA, NBW

Device Description

The kit of BIOLAND G-423 BLOOD GLUCOSE MONITORING SYSTEM MODEL G-423 consist of: the meter with blood glucose measurement function and test strips. These products have been designed and tested to work together as a system to produce accurate blood glucose test results.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingertips

Indicated Patient Age Range

Not Found

Intended User / Care Setting

single person, people with diabetes at home

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)

Results of the performance tests including system accuracy, user study precision, interference, hematocrit, altitude, meter reliability, storage stability and in-use stability demonstrate that the BIOLAND G-423 BLOOD GLUCOSE MONITORING SYSTEM, MODEL G-423, met the performance requirements for its intended use. Software validation, EMC and safety testing are also performed and the results met the predetermined acceptance criteria. The data demonstrates that the BIOLAND BLOOD GLUCOSE MONITORING SYSTEM MODEL G-423 is substantially equivalent to the predicate device.

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

Not Found

Predicate Device(s)

K053593

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

510(k) Summary 3.

AUG

3 2012

510(K) SUMMARY

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

The Assigned 510(k) number is: 长川3077

    1. Submitter's Identification: BIOLAND TECHNOLOGY LTD. Room 1122, 11/F., Liven House, 61-63 King Yip Street, Kwun Tong, Kowloon, Hong Kong, China
      Córrespondence: Teling Hsu Tel: +886-2-6625-8188 #1176 Fax: +886-2-6625-0288 Email: teling.hsu@taidoc.com.tw

Date of preparation: October 14, 2011

    1. Device name:
      Proprietary name: BIOLAND G-423 BLOOD GLUCOSE MONITORING SYSTEM, MODEL G-423

Regulatory information:

  • Regulation section: 21 CFR § 862.1345, Glucose Test System A.
  • Class II (Glucose Test System) B. Classification:
  • CGA, Glucose Oxidase, Glucose Product Code: C..

NBW, System, Test, Blood Glucose, Over The Counter

  • 75, Clinical Chemistry Glucose Test System Panel: D.

1

3. Intended Use:

The Bioland G-423 BLOOD GLUCOSE MONITORING SYSTEM is intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips. This system is intended to be used by a single person and should not be shared.

The Bioland G-423 Blood Glucose Monitoring System is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor the effectiveness of diabetes control. The Bioland G-423 Blood Glucose Monitoring System should not be used for the diagnosis of or screening for diabetes, nor for neonatal use.

The Bioland G-423 Test Strips are for use with the Bioland G-423 Blood Glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.

    1. Device Description:
      The kit of BIOLAND G-423 BLOOD GLUCOSE MONITORING SYSTEM MODEL G-423 consist of: the meter with blood glucose measurement function and test strips. These products have been designed and tested to work together as a system to produce accurate blood glucose test results.
    1. Substantial Equivalence Information:
      Predicate device name: Prodigy Blood Glucose System A.

Predicate K number: K053593

  • B. Comparison with predicate:
    The BIOLAND G-423 BLOOD GLUCOSE MONITORING SYSTEM MODEL G-423 has the following similarities to the predicate device:

  • same operating principle,

  • same fundamental scientific technology,

  • incorporate the same basic circuit design,

  • incorporate the same materials,

  • same shelf life

  • . packaged using the same materials, and

  • manufactured by the same process. .

2

The differences encompass:

  • Software 월
  • 트 Physical appearance
  • User interface 배
  • Labeling .
    1. Test Principle:

For blood glucose, the detection and measurement is by an electrochemical biosensor technology using glucose oxidase (A. Niger).

    1. Performance Characteristics:
      Results of the performance tests including system accuracy, user study precision, interference, hematocrit, altitude, meter reliability, storage stability and in-use stability demonstrate that the BIOLAND G-423 BLOOD GLUCOSE MONITORING SYSTEM, MODEL G-423, met the performance requirements for its intended use. Software validation, EMC and safety testing are also performed and the results met the predetermined acceptance criteria. The data demonstrates that the BIOLAND BLOOD GLUCOSE MONITORING SYSTEM MODEL G-423 is substantially equivalent to the predicate device.
    1. Conclusion:
      Based on the information provided in this submission, the BIOLAND G-423 BLOOD GLUCOSE MONITORING SYSTEM MODEL G-423 is substantially equivalent to the predicate device.

3

Image /page/3/Picture/12 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 an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.

10903 New Hampshire Avenue Silver Spring, MD 20993

3 2012 AUG

Taidoc Technology Corporation c/o Linda Ko 3F, 5F, No. 127, Wugong 2nd Rd Wugu Township, Wugu Dist. New Taipei City China (Taiwan) 24888

K113077 Re:

Trade Name: Bioland G-423 Blood Glucose Monitoring System Regulation Number: 21 CFR §862.1345 Regulation Name: Glucose Test System Regulatory Class: Class II Product Codes: NBW, CGA Dated: July 17, 2012 Received: August 1, 2012

Dear Ms Ko:

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. or mo recor any coubla 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/Medical

Devices/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 H. Lias. Ph.D. Director Division of Chemistry and Toxicology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known):

Device Name: Bioland G-423 Blood Glucose Monitoring System, Model G-423

Indications for Use:

The Bioland G-423 BLOOD GLUCOSE MONITORING SYSTEM is intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips. This system is intended to be used by a single person and should not be shared.

The Bioland G-423 Blood Glucose Monitoring System is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor the effectiveness of diabetes control. The Bioland G-423 Blood Glucose Monitoring System should not be used for the diagnosis of or screening for diabetes, nor for neonatal use.

The Bioland G-423 Test Strips are for use with the Bioland G-423 Blood Glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.

AND/OR

Prescription Use ________________ (Part 21 CFR 801 Subpart D) Over-The-Counter Use X (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)

Division Sign-Off

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety 510(k) ≤113077

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