K Number
K120813
Device Name
BLOOD GLUCOSE MONITORING SYSTEM
Date Cleared
2012-12-07

(263 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
iHealth BG3 Smart Gluco-Monitoring System is intended to be used for: · quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertip, palm, forearm, upper arm, calf or thigh · single person measurement only and should not be shared • 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 iHealth BG3 Smart Gluco-Monitoring System should not be used for the diagnosis of or screening for diabetes, or for neonatal use. Alternative Site Testing (AST) should be done only during steady state times when glucose levels are not changing rapidly. The AGS10001 test strips are intended for use with the iHealth BG3 meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips, palm, forearm, upper arm, calf or thigh using the iHealthBG3 meter
Device Description
iHealth BG3 Smart Gluco-Monitoring System consist of blood glucose meter, single use test strips, sterile lancets, lancing device and the control solutions. The new device iHealth BG3 Smart Gluco-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 is used to test the performance of the device. It uses the same technological characteristics for testing with its predicate device. The appearance of iHealth BG3 meter is different from the predicate device. More over, the new device iHealth BG3 Smart Gluco-Monitoring System can not display the test results itself, it has to connect an iPhone or iPod touch to complete its function.
More Information

Not Found

No
The description focuses on electrochemical biosensor technology and capillary action, with no mention of AI or ML. The device relies on an external iPhone/iPod touch for display, but the core glucose measurement process is described as traditional.

No.
This device is for monitoring glucose levels to aid in diabetes control, not for treating or providing therapy for diabetes. It is an in vitro diagnostic device used for self-testing.

No
The device is described as an aid to monitor the effectiveness of diabetes control and explicitly states it "should not be used for the diagnosis of or screening for diabetes".

No

The device description explicitly states that the system consists of a blood glucose meter, test strips, lancets, lancing device, and control solutions, which are all hardware components. While it connects to an iPhone/iPod touch for displaying results, it is not solely software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "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".
  • Nature of the Test: The device measures glucose in blood samples outside the body, which is the definition of an in vitro diagnostic test.
  • Purpose: The purpose is to aid in monitoring the effectiveness of diabetes control, which is a diagnostic purpose.

The device description and intended use clearly align with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

iHealth BG3 Smart Gluco-Monitoring System is intended to be used for:

  • quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertip, palm, forearm, upper arm, calf or thigh
  • single person measurement only and should not be shared
  • 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 iHealth BG3 Smart Gluco-Monitoring System should not be used for the diagnosis of or screening for diabetes, or for neonatal use.

Alternative Site Testing (AST) should be done only during steady state times when glucose levels are not changing rapidly.

The AGS10001 test strips are intended for use with the iHealth BG3 meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips, palm, forearm, upper arm, calf or thigh using the iHealthBG3 meter

Product codes

NBW, CGA, JQP

Device Description

iHealth BG3 Smart Gluco-Monitoring System consist of blood glucose meter, single use test strips, sterile lancets, lancing device and the control solutions.

The new device iHealth BG3 Smart Gluco-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 is used to test the performance of the device. It uses the same technological characteristics for testing with its predicate device.

The appearance of iHealth BG3 meter is different from the predicate device. More over, the new device iHealth BG3 Smart Gluco-Monitoring System can not display the test results itself, it has to connect an iPhone or iPod touch to complete its function.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingertip, palm, forearm, upper arm, calf or thigh

Indicated Patient Age Range

Not Found

Intended User / Care Setting

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)

Non-clinical test and the clinical test are done according to 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)

K110017

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

20813

iHealth BG3 Smart Gluco-Monitoring System FDA 510(k) Files

Additional information for K120813

510(k) Summary

DEC 0 7 2012

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

Name:Andon Medical Co., Ltd.
Address:No.26 Hangn Yu Road, Tianjin Airport Economic Area,
Tianjin, P.R. China
Phone number:86-22-8761 2426
Fax number:86-22-6052 6162
Contact:Yi Liu
Date of Application:03/15/2012

2.0 Device information

Trade name:iHealth BG3 Smart Gluco-Monitoring System
Common name:Blood Glucose Monitoring System
Classification name:Blood Glucose Monitoring System

3.0 Classification

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

4.0 Predicate device information

Manufacturer:Andon Medical Co., Ltd.
Device:AG-608N Single Blood Glucose Monitoring System
510(k) number:K110017

1

Additional information for K 120813

iHealth BG3 Smart Gluco-Monitoring System FDA 510(k) Files

5.0 Device description

iHealth BG3 Smart Gluco-Monitoring System consist of blood glucose meter, single use test strips, sterile lancets, lancing device and the control solutions.

The new device iHealth BG3 Smart Gluco-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 is used to test the performance of the device. It uses the same technological characteristics for testing with its predicate device.

The appearance of iHealth BG3 meter is different from the predicate device. More over, the new device iHealth BG3 Smart Gluco-Monitoring System can not display the test results itself, it has to connect an iPhone or iPod touch to complete its function.

6.0 Intended use

iHealth BG3 Smart Gluco-Monitoring System is intended to be used for:

  • · quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertip, palm, forearm, upper arm, calf or thigh
  • · single person measurement only and should not be shared

• 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 iHealth BG3 Smart Gluco-Monitoring System should not be used for the diagnosis of or screening for diabetes, or for neonatal use.

Alternative Site Testing (AST) should be done only during steady state times when glucose levels are not changing rapidly.

The AGS10001 test strips are intended for use with the iHealth BG3 meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips, palm, forearm, upper arm, calf or thigh using the iHealthBG3 meter

2

Additional information for K120813

iHealth BG3 Smart Gluco-Monitoring System FDA 510(k) Files

7.0 Summary comparing technological characteristics with predicate device

NEW DEVICE:PREDICATE:
CHARACTERISTICSiHealth BG3 Smart
Gluco-Monitoring SystemAG-608N Single Blood.
Glucose Monitoring
System (K110017)
Detection MethodAmperometryAmperometry
EnzymeGlucose OxidaseGlucose Oxidase
Type of MeterBiosensor (Electrode)Biosensor (Electrode)
Sample SourceCapillary whole blood from
AST(Alternative site testing)
and fingerCapillary whole blood from
AST(Alternative site
testing) and finger
Sample ApplicationBlood sample is placed
directly to the test strip after
finger or AST is lanced.Blood sample is placed
directly to the test strip
after finger or AST is
lanced.
Hematocrit Range20-60%20-60%
Operating
Temperature Range10℃~35℃(50°-95°F)10℃~40℃(50°-104°F)
Dimensions102mm×58mm ×22mm52mmx 92mmx 21mm
DisplayConnect to iPhone or iPod
touch to display
measurement resultsLCD
Result Presentationmg/dL or mmol/Lmg/dL or mmol/L
Memory Capabilities10000 times with time and
date displaying500 times with time and
date displaying
Test StartAutomaticAutomatic
Test Time5 second5 second
Power SourceDC 3.3V (Powered by iOS
device connected to the
meter)DC 3V (CR2032)
Battery LifeN/AApprox. 500 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-1000I Test StripAGS-1000N Test Strip
Sample VolumeMinimum 0.7 micro literMinimum 0.7 micro liter
Other functionN/AUSB function.
Voice function

5- 3

·

3

iHealth BG3 Smart Gluco-Monitoring System FDA 510(k) Files

8.0 Performance summary

iHealth BG3 Smart Gluco-Monitoring System conforms 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

iHealth BG3 Smart Gluco-Monitoring System is similar with the predicate device AG-608N Single blood pressure monitor, the two devices are both for single people use, they use the same test strip, and can test the blood glucose at the alternative site. The hematocrit range, the altitude and the use function are all the same. The appearance of the two device is different, and iHealth BG3 meter does not have a LCD itself, it must be connected to an iPone or iPod touch to display measurement results. More over, the memory capability of the new device is changed, and the new device i neither has the USB function nor Voice function.

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

5- 4

4

Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes forming its wing, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circle around the eagle. The eagle is facing to the right. The logo is black and white.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

Andon Medical Co., Ltd. c/o Yi Liu No.26 Hang Yu Road Tianjin, P.R. China 300381

December 7. 2012

Re: K120813

Trade/Device Name: iHealth BG3 Smart Gluco-Monitoring System Regulation Number: 21 CFR §862.1345 Regulation Name: Glucose test system Regulatory Class: Class II Product Code: NBW, CGA, JQP Dated: November 26, 2012 Received: November 29, 2012

Dear Mr. Yi 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 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 Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

5

Page 2 – Yi Liu

forth in the quality systems (QS) 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 Parts 801 and 809), please contact the Office of In Vitro Diagnostics and Radiological Health at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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/cdrh/industry/support/index.html.

Sincerely yours,

Yung W. Chan

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

Enclosure

6

Indication for Use

510(k) Number (if known): _ K120813

Device Name: iHealth BG3 Smart Gluco-Monitoring System

Indication For Use:

iHealth BG3 Smart Gluco-Monitoring System is intended to be used for:

· quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertip, palm, forearm, upper arm, calf or thigh

· single person measurement only and should not be shared

· 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 iHealth BG3 Smart Gluco-Monitoring System should not be used for the diagnosis of or screening for diabetes, or for neonatal use.

Alternative Site Testing (AST) should be done only during steady state times when qlucose levels are not changing rapidly.

The AGS10001 test strips are intended for use with the iHealth BG3 meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips, palm, forearm, upper arm, calf or thigh using the iHealthBG3 meter

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

Lathes

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K120813

Page 1 of /