K Number
K113135
Device Name
UNISTRIP 1
Date Cleared
2013-11-06

(744 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Unistrip1™ Test Strips are used with the OneTouch "Ultra", OneTouch" Ultra2", OneTouch" UltraMini and One-Touch UltraSmart meters purchased before October 2012, set at calibration code 49, for measuring glucose (sugar) in whole capillary blood. The Unistrip1™ is meant for self-testing of blood . glucose as an aid to monitor the effectiveness of diabetes control. They are for single patient use only and should not be shared. They are used to quantitatively measure glucose in fresh capillary whole blood samples taken from the finger, palm, or forearm. Testing is done outside the body (in vitro diagnostic use). They are indicated for use by people with diabetes in their home as an aid to monitor the effectiveness of diabetes control. Not intended for the diagnosis of or screening for diabetes mellitus and is not intended for use on neonates. UniStrip1™ Test Strips allow alternate site testing (AST) from the fingertip, palm and/or the forearm. (Use of palm AST is not to be done with OneTouch Ultra meter). Alternative site testing should only be done during steady-state times (when glucose is not changing rapidly). Alternative site testing (AST) testing should only be done during steady-state times (when glucose is not changing rapidly).
Device Description
The UniStrip1™ Test Strips are used with the OneTouch® Ultra®, OneTouch® Ultra2®, OneTouch® UltraMini® and QneTouch® UltraSmart® blood glucose monitoring systems. The UniStrip1™ test Strips is intended for use outside the body (in vitro diagnostic use) by people with diabetes using the OneTouch® Ultra®, OneTouch® Ultra2®, OneTouch® UltraMini® and OneTouch® UltraSmart® blood glucose monitoring systems as an aid to monitor the effectiveness of diabetes control. The UniStrip1™ Test Strips allow alternate site testing (AST) from the fingertip, palm and/or the forearm. (Use of palm AST is not to be done with OneTouch Ultra meter). The UniStrip1™ Test Strip can only be used on the OneTouch®Ultra®, OneTouch®Ultra2®, OneTouch® UltraMini® and OneTouch® UltraSmart® meters purchased before October 2012. UniStrip1™ Test Strips are only for use with calibration code 49.
More Information

Not Found

No
The document describes a blood glucose test strip and its compatibility with specific meters. There is no mention of AI or ML in the intended use, device description, or performance studies. The technology described is standard electrochemical glucose measurement.

No.
The device is an in vitro diagnostic (IVD) product used for measuring glucose levels, which aids in monitoring diabetes control but does not directly treat or cure the condition.

Yes

Explanation: The device is used for measuring glucose in whole capillary blood, which is a diagnostic measurement. Although it states "Not intended for the diagnosis of or screening for diabetes mellitus," it is used "as an aid to monitor the effectiveness of diabetes control," which falls under the broader definition of a diagnostic device by providing information for managing a medical condition. It also explicitly states "in vitro diagnostic use."

No

The device described is a test strip, which is a physical component used in conjunction with a blood glucose meter. It is an in vitro diagnostic device and not a software-only medical device.

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)."

Furthermore, the "Device Description" section also reiterates: "The UniStrip1™ Test Strips is intended for use outside the body (in vitro diagnostic use)..."

These statements clearly indicate that the device is designed to perform tests on samples taken from the human body, but the testing itself is conducted outside the body, which is the definition of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Unistrip1™ Test Strips are used with the OneTouch "Ultra", OneTouch" Ultra2", OneTouch" UltraMini and One-Touch UltraSmart meters purchased before October 2012, set at calibration code 49, for measuring glucose (sugar) in whole capillary blood. The Unistrip1™ is meant for self-testing of blood . glucose as an aid to monitor the effectiveness of diabetes control.

They are for single patient use only and should not be shared.

They are used to quantitatively measure glucose in fresh capillary whole blood samples taken from the finger, palm, or forearm.

Testing is done outside the body (in vitro diagnostic use).

They are indicated for use by people with diabetes in their home as an aid to monitor the effectiveness of diabetes control.

Not intended for the diagnosis of or screening for diabetes mellitus and is not intended for use on neonates.
UniStrip1™ Test Strips allow alternate site testing (AST) from the fingertip, palm and/or the forearm. (Use of palm AST is not to be done with OneTouch Ultra meter). Alternative site testing should only be done during steady-state times (when glucose is not changing rapidly). Alternative site testing (AST) testing should only be done during steady-state times (when glucose is not changing rapidly).

Product codes

NBW, CGA

Device Description

The UniStrip1™ Test Strips are used with the OneTouch® Ultra®, OneTouch® Ultra2®, OneTouch® UltraMini® and QneTouch® UltraSmart® blood glucose monitoring systems. The UniStrip1™ test Strips is intended for use outside the body (in vitro diagnostic use) by people with diabetes using the OneTouch® Ultra®, OneTouch® Ultra2®, OneTouch® UltraMini® and OneTouch® UltraSmart® blood glucose monitoring systems as an aid to monitor the effectiveness of diabetes control. The UniStrip1™ Test Strips allow alternate site testing (AST) from the fingertip, palm and/or the forearm. (Use of palm AST is not to be done with OneTouch Ultra meter).

The UniStrip1™ Test Strip can only be used on the OneTouch®Ultra®, OneTouch®Ultra2®, OneTouch® UltraMini® and OneTouch® UltraSmart® meters purchased before October 2012. UniStrip1™ Test Strips are only for use with calibration code 49.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingertip, palm and/or the forearm

Indicated Patient Age Range

Not intended for use on neonates.

Intended User / Care Setting

people with diabetes in their 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)

Non-Clinical:
The following tests and studies were conducted to ensure the UniStrip1™ Test Strips were safe and effective when using the UniStrip1™ Test Strip with the following blood glucose meters -OneTouch®Ultra®, OneTouch®Ultra2®, OneTouch® UltraMini® and One-Touch® UltraSmart®.
0 NCCLS EP5-A Precision Test
0 NCCLS EP6-A Linearity Test
ඹ ISO 15971 and EP7-A2 Interference Tests
₪ ISO 15971 System Accuracy Evaluation
₪ ISO 15971 and ISO 5725-1 Comparison Test
0 ISO 15971 Altitude Test
@ Volume Verification Study
₪ EN 13640 Operation Conditions Tests for Test Strip
@ EN 13640 Storage Conditions Test for Test Strip
@ ISO 15971 Control Solution test
ISO 159712 and ISO 5725-1 User Evaluation
@ Error Code Comparison Tests

Clinical Studies: No clinical studies were conducted.

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

Not Found

Predicate Device(s)

K923544

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

K11313:5

510(k) Summary

A summary of 510k safety and effectiveness information in accordance with 21 CFR 807.92

Date Prepared:November 5, 2013
Sponsor Information:UniStrip Technologies, LLC.
Sponsor Address:2701-A Hutchison McDonald Road
Charlotte, NC 28269
Sponsor Contact:Richard Admani
Sponsor Tel Number:1-704-285-6400
Sponsor Fax Number:1-704-285-6495
Device Name:UniStrip1™ Test Strips
Common/Usual Name:Blood Glucose Test Strips
Classification Name:Glucose, Oxidase, Glucose
Regulation Number:21 CFR 862.1345
Product Code:NBW, CGA
Device Class:Class II
Review Panel:Clinical Chemistry

NOV 062013

Predicate Device: Manufacturer

Lifescan, Inc.

Brand Name
OneTouch® Test Strips

510(k) Number K923544

Device Description

The UniStrip1™ Test Strips are used with the OneTouch® Ultra®, OneTouch® Ultra2®, OneTouch® UltraMini® and QneTouch® UltraSmart® blood glucose monitoring systems. The UniStrip1™ test Strips is intended for use outside the body (in vitro diagnostic use) by people with diabetes using the OneTouch® Ultra®, OneTouch® Ultra2®, OneTouch® UltraMini® and OneTouch® UltraSmart® blood glucose monitoring systems as an aid to monitor the effectiveness of diabetes control. The UniStrip1™ Test Strips allow alternate site testing (AST) from the fingertip, palm and/or the forearm. (Use of palm AST is not to be done with OneTouch Ultra meter).

The UniStrip1™ Test Strip can only be used on the OneTouch®Ultra®, OneTouch®Ultra2®, OneTouch® UltraMini® and OneTouch® UltraSmart® meters purchased before October 2012. UniStrip1™ Test Strips are only for use with calibration code 49.

Indications for Use

The Unistrip1™ Test Strips are used with the OneTouch "Ultra", OneTouch" Ultra2", OneTouch" UltraMini and One-Touch UltraSmart meters purchased before October 2012, set at calibration code 49, for measuring glucose (sugar) in whole capillary blood. The Unistrip1™ is meant for self-testing of blood . glucose as an aid to monitor the effectiveness of diabetes control.

They are for single patient use only and should not be shared.

They are used to quantitatively measure glucose in fresh capillary whole blood samples taken from the finger, palm, or forearm.

Testing is done outside the body (in vitro diagnostic use).

They are indicated for use by people with diabetes in their home as an aid to monitor the effectiveness of diabetes control.

Not intended for the diagnosis of or screening for diabetes mellitus and is not intended for use on neonates.

1

UniStrip1™ Test Strips allow alternate site testing (AST) from the fingertip, palm and/or the forearm. (Use of palm AST is not to be done with OneTouch Ultra meter). Alternative site testing should only be done during steady-state times (when glucose is not changing rapidly). Alternative site testing (AST) testing should only be done during steady-state times (when glucose is not changing rapidly).

Similarities to Predicate Device
CharacteristicPredicate DeviceNew Device
Reagent CompositionGlucose Oxidase (Aspergillus niger)Same as predicate
Specimen TypeFresh capillary whole bloodSame as predicate
Sample Volume1.0 µLSame as predicate
Control SolutionUse OneTouch Ultra Control SolutionUse Prodigy Control Solution
Detecting Range20-600 mg/dLSame as predicate
CalibrationVarious codesCode 49 Only
Altitude UseUp to 10,000 feetSame as predicate
Storage TemperatureLess than 86°F (30° C)39°-86°F (4°-30°C)
Open Vial Shelf Life6 months after opening90 days after opening

Predicate Product Comparison Similarities to Predicate Device

Differences with Predicate Device

CharacteristicPredicate DeviceNew Device
Control SolutionUse OneTouch Ultra Control SolutionUse Prodigy Control Solution
CalibrationVarious codesCode 49 Only
Storage TemperatureLess than 86°F (30° C)39°-86°F (4°-30°C)
Open Vial Shelf Life6 months after opening90 days after opening

Safety and Effectiveness Tests and Studies Non-Clinical

The following tests and studies were conducted to ensure the UniStrip1™ Test Strips were safe and effective when using the UniStrip1™ Test Strip with the following blood glucose meters -OneTouch®Ultra®, OneTouch®Ultra2®, OneTouch® UltraMini® and One-Touch® UltraSmart®.

0 NCCLS EP5-A Precision Test

0 NCCLS EP6-A Linearity Test

ඹ ISO 15971 and EP7-A2 Interference Tests

₪ ISO 15971 System Accuracy Evaluation

₪ ISO 15971 and ISO 5725-1 Comparison Test

0 ISO 15971 Altitude Test

@ Volume Verification Study

₪ EN 13640 Operation Conditions Tests for Test Strip

@ EN 13640 Storage Conditions Test for Test Strip

@ ISO 15971 Control Solution test

ISO 159712 and ISO 5725-1 User Evaluation

@ Error Code Comparison Tests

2

Clinical Studies No clinical studies were conducted.

Conclusion

Based on the Predicate Product Comparison Table of similarities, standard and FDA guidance tests and study results UniStrip Technologies, LLC concludes that no new issues of safety and effective have been raised in this original 510(k) submission for the UniStrip1™ Test Strips to be used with the OneTouch®Ultra®, OneTouch®Ultra2®, OneTouch® UltraMini® and One-Touch® UltraSmart® blood glucose meters purchased before October 2012.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, with three wave-like lines below the eagle.

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

November 6, 2013

UniStrip Technologies, LLC Richard Admani Chief Operations Officer 2701-A Hutchison McDonald Rd. . CHARLOTTE, NC 28269

Re: K113135

Trade/Device Name: UniStrip I Test Strip Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: II Product Code: NBW. CGA Dated: November 01, 2013 Received: November 04, 2013

Dear Mr. Admani:

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. Iisting 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.

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); 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.

4

Page 2-Mr. Admani

If you desire specific advice for your device on our labeling regulations (21 CFR Parts 801 and 809), please contact 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. 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/ReportalProblem/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.hum.

Sincerely yours,

Carol C. Benson -S for

Courtney H. Lias, Ph.D. Director Division of Chemistry and Toxicology Devices Office of In Vitro Diagnostics and Radiological Health

Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): K113135

Device Name: UniStrip1 Test Strip

Indications for Use:

The Unistrip 1 Test Strips are used with the OneTouch® Ultra®, OneTouch®Ultra2®, OneTouch® UltraMini® and One-Touch® UltraSmart® meters purchased before October 2012, set at calibration code 49, for measuring glucose (sugar) in whole capillary blood. The Unistrip I is meant for self-testing of blood glucose as an aid to monitor the effectiveness of diabetes control.

Thev are for single patient use only and should not be shared.

They are used to quantitatively measure glucose in fresh capillary whole blood samples taken from the finger, palm, or forearm.

Testing is done outside the body (in vitro diagnostic use).

They are indicated for use by people with diabetes in their home as an aid to monitor the effectiveness of diabetes control.

Not intended for the diagnosis of or screening for diabetes mellitus and is not intended for use on neonates.

UniStrip1 Test Strips allow alternate site testing (AST) from the fingertip, palm and/or the forearm. (Use of palm AST is not to be done with OneTouch®Ultra® meter). Alternative site testing should only be done during steady-state times (when glucose is not changing rapidly).

Over-The-Counter Use AND/OR x Prescription Use (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

Stayce Beck

Division Sign-Off Office of In Vitro Diagnostics and Radiological Health

510(k)

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