K Number
K122181
Device Name
EBCHEK BLOOD GLUCOSE MONITORING SYSTEM
Manufacturer
Date Cleared
2013-08-15

(388 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The eBchek 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. The eBchek Blood Glucose Monitoring System is intended to be used by a single person and should not be shared. The eBchek 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 eBchek Blood Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes mellitus or for neonatal use. The eBchek Glucose Meter contains some speaking functions, but is not intended for use by the visually impaired. eBchek Blood Glucose Test Strips are for use with the eBchek Blood Glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips. eB-series Control Solutions are for use with the eBchek Blood Glucose Meter and eBchek Blood Glucose Test Strips to check that the meter and test strips are working together properly and that the test is performing correctly.
Device Description
Based on an electrochemical biosensor technology and the principle of capillary action, eBchek Blood Glucose Monitoring System only needs a small amount of blood. Capillary action at the end of the test strip draws the blood into the action chamber and the blood glucose result is displayed on the meter. This system contains some speaking functions, but is not intended for use by the visually impaired. The eBchek Blood Glucose Monitoring System consists of the eBchek Meter, eBchek test strips with instruction, lancing device, lancets, code card, two AAA Batteries, users manual, carrying case. eB-series control solutions (previously cleared in K062555 as eBsensor control solution) with two different glucose concentration ranges (Level 1 and Level 2) are available but sold separately.
More Information

No
The summary describes a standard electrochemical biosensor-based blood glucose monitoring system and does not mention any AI or ML components.

No
The device is a diagnostic tool used to measure glucose levels, not to treat the condition.

No

The device is intended for self-monitoring of blood glucose levels to aid in managing diabetes, not for the diagnosis or screening of diabetes mellitus.

No

The device description explicitly lists hardware components such as a meter, test strips, lancing device, lancets, code card, and batteries, indicating it is a hardware-based system with potentially integrated software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "The eBchek Blood Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home..."
  • Nature of the Test: The system measures glucose in a biological sample (blood) outside the body to provide information about a person's health status (diabetes control). This is the core definition of an in vitro diagnostic test.
  • Components: The system includes components specifically designed for in vitro testing, such as test strips and control solutions.

N/A

Intended Use / Indications for Use

The eBchek 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. The eBchek Blood Glucose Monitoring System is intended to be used by a single person and should not be shared.

The eBchek 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 eBchek Blood Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes mellitus or for neonatal use. The eBchek Glucose Meter contains some speaking functions, but is not intended for use by the visually impaired.

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

eB-series Control Solutions are for use with the eBchek Blood Glucose Meter and eBchek Blood Glucose Test Strips to check that the meter and test strips are working together properly and that the test is performing correctly.

Product codes

CGA, NBW, JJX

Device Description

Based on an electrochemical biosensor technology and the principle of capillary action, eBchek Blood Glucose Monitoring System only needs a small amount of blood. Capillary action at the end of the test strip draws the blood into the action chamber and the blood glucose result is displayed on the meter. This system contains some speaking functions, but is not intended for use by the visually impaired.

The eBchek Blood Glucose Monitoring System consists of the eBchek Meter, eBchek test strips with instruction, lancing device, lancets, code card, two AAA Batteries, users manual, carrying case. eB-series control solutions (previously cleared in K062555 as eBsensor control solution) with two different glucose concentration ranges (Level 1 and Level 2) are available but sold separately.

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 / 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)

Study is based on ISO 15197: In vitro diagnostic test systems- Requirements for bloodglucose monitoring systems for self-testing in managing diabetes mellitus. Performance on the eBchek Blood Glucose Monitoring System demonstrated that the device meets the requirements for its intended use. The data demonstrates that the device is substantially equivalent to the predicate and raises no safety or effectiveness issues.

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

Not Found

Predicate Device(s)

K062555

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.

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K 122181

Image /page/0/Picture/1 description: The image shows a black and white drawing of a winged lion. The lion is in a leaping position, with its front paws raised and its back paws on the ground. The wings are spread out behind the lion. The drawing is simple and stylized, with thick lines and minimal detail. The lion appears to be a heraldic symbol or emblem.

Visgeneer Inc. No. 188 Sec.3, Gongdao 5th Rd., Hsinchu City 30069, Taiwan Fax: +886-3-5160161 Tel: +886-3-5160111

Section V 510(K) Summary

This Summary of 510(K) safety and effectiveness information is being submitted in accordance with the requirements of (Per 21 CFR 807.92)

Submitter's Name

Visgeneer Inc. No.188, Sec.3, Gongdao 5th Rd., Hsinchu City 30069, Taiwan Fax: +886-5160161 Tel: +886-5160111 Contact Person: Jack Yang Date prepared: June 14th, 2013

AUG 1 5 2013

Name of Device

Trade Name: eBchek Blood Glucose Monitoring System Common Name: Blood Glucose Monitoring System

| Regulation

SectionClassificationProduct CodePanel
21 CFR § 862.1345Class IICGA, glucose oxidase, glucoseClinical
Chemistry
(75)
21 CFR § 862.1345Class IINBW, system, test, blood glucose,
over the counterClinical
Chemistry
(75)
21 CFR § 862.1660Class I.
reservedJJX, single (specified) analyte
controls (assayed and unassayed)Clinical
Chemistry
(75)

Predicate Device:

Visgeneer Inc., eBsensor Blood Glucose Monitoring System (K062555)

1

Image /page/1/Picture/0 description: The image shows a logo with the letters "VAS" stacked on top of each other. The letters are stylized and appear to be hand-drawn or custom-designed. Below the letters, there is some smaller text that is difficult to read due to the image quality. The logo has a slightly distressed or textured appearance, giving it a vintage or worn look.

Description of Device:

Based on an electrochemical biosensor technology and the principle of capillary action, eBchek Blood Glucose Monitoring System only needs a small amount of blood. Capillary action at the end of the test strip draws the blood into the action chamber and the blood glucose result is displayed on the meter. This system contains some speaking functions, but is not intended for use by the visually impaired.

The eBchek Blood Glucose Monitoring System consists of the eBchek Meter, eBchek test strips with instruction, lancing device, lancets, code card, two AAA Batteries, users manual, carrying case. eB-series control solutions (previously cleared in K062555 as eBsensor control solution) with two different glucose concentration ranges (Level 1 and Level 2) are available but sold separately.

Intended Use:

The eBchek 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. The eBchek Blood Glucose Monitoring System is intended to be used by a single person and should not be shared.

The eBchek 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 eBchek Blood Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes mellitus or for neonatal use. The eBchek Glucose Meter contains some speaking functions, but is not intended for use by the visually impaired.

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

eB-series Control Solutions are for use with the eBchek Blood Glucose Meter and eBchek Blood Glucose Test Strips to check that the meter and test strips are working together properly and that the test is performing correctly.

5-2

2

Visgeneer Inc.
No. 188 Sec.3, Gongdao 5th Rd., Hsinchu City 30069, Taiwan
Tel: +886-3-5160111 Fax: +886-3-5160161

Comparison to Predicate Device

Similarities
ItemDevicePredicate Device(K062555)
Device nameeBchekeBsensor (Model : eB-G)
Test PrincipleElectrochemical biosensor
with carbon electrodesSame
Specimen Typecapillary whole bloodSame
Measurement unitmg/dL or mmol/LSame
EnzymeGlucose oxidaseSame
Control SolutioneB-series control solution
(contains D-glucose, two
different concentrations are
used, ie. Level 1:100 mg/dL
and Level 2:300 mg/dL)Same composition and mixture, but under
labeling of eBsensor control solution
A Code cardCode card(for each batch of
test strip)Same
Strip Dimension7.9mm*32mmSame
Battery PowerTwo 1.5 V AAA batteriesSame
Operating Temp.4 to 42 ℃Same
Operating
Humidity10 to 85%Same
Meter Storage0~50℃Same
Differences
ItemDevicePredicate Device
Intended useSingle patientSingle patient and Healthcare Professionals
Sample Volume0.5 uL2.5 uL
Measuring Time5 sec10 sec
HCT Range20~60%30 ~ 55 %
Detecting Range20 ~ 600 mg/dL
(1.1~33.3mmol/L)30 ~ 600 mg/dL
(1.6~33.3mmol/L)
Slot locationBottomTop

3

Image /page/3/Picture/0 description: The image shows a logo with the letters "VTS" stacked on top of each other. Below the letters, there is a stylized image of a body of water with a horizon line. Underneath the water image, there is some text that is difficult to read due to the image quality. The logo appears to be for an organization or company with the initials VTS.

ec.3, Gongdao 5th Rd., Hsinchu City 30069, Taiwan Fax: +886-3-5160161 el: +886-3-5160111

Meter CheckAutocheckCheck Strip
Average Display7, 14 and 28 days-
Memory Storage450 blood glucose result70 blood glucose results
Alarm FunctionAlarm clock-
Talking FunctionEnglish/Chinese-
Meter Dimension
Length X Width X Height95 mm X 55 mm X 18.5 mm87 mm X 60 mm X 21 mm
Meter Weight85 g75 g

The Subject device is different from the predicate device in the following aspects: *Meter: ergonomic/physical design, hardware, slight modification of firmware and electronics to include talking function.

*Strips: Modifications in GOD enzyme dosage and the reaction chamber on the eBchek test strips was made to fill blood samples according to the specified volume. *Control Solution: There are no changes to the ingredients of Normal and High Control Solutions from the predicate. Proposed labeling is changed from previously cleared k number K062555, eBsensor control solution to eB-series control solution. There have been no changes to the operating principle or general scientific technology from the predicate.

Performance Studies

Study is based on ISO 15197: In vitro diagnostic test systems- Requirements for bloodglucose monitoring systems for self-testing in managing diabetes mellitus. Performance on the eBchek Blood Glucose Monitoring System demonstrated that the device meets the requirements for its intended use. The data demonstrates that the device is substantially equivalent to the predicate and raises no safety or effectiveness issues.

Conclusion

The modification of eBchek Blood Glucose Monitoring System does not affect the safety and effectiveness of the device. The submitted information in this premarket notification supports a substantial equivalence decision.

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/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 wavy lines representing its body and wings. 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 Center - WO66-G609 Silver Spring, MD 20993-0002

August 15, 2013

Visgeneer, Inc. C/O Jack Yang No. 188, Sec. 3, Gongdao 5th Rd. Hsinchu City 30069, Taiwan

Re: K122181

Trade/Device Name: eBchek Blood Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: II Product Code: NBW, CGA, JJX Dated: July 31, 2013 Received: August 8, 2013

Dear Mr. Yang:

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 warrantics. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into cither 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 cvents) (21 CFR 803); good manufacturing practice requirements as set 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 Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.html for.

5

the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulations repording by reference to premarket notification'' (21CFR Par 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go lo

http://www.fda.gov/MedicalDevices/Safetw/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may oblain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll the (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

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

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Indications for Use

510(k) Number (if known): K122181

Device Name: eBchek Blood Glucose Monitoring System

Indications for Use:

The eBchek 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. The eBchek Blood Glucose Monitoring System is intended to be used by a single person and should not be shared.

The eBchek 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 eBchek Blood Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes mellitus or for neonatal use. The eBchek Glucose Meter contains some speaking functions, but is not intended for use by the visually impaired.

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

eB-series Control Solutions are for use with the eBchek Blood Glucose Meter and eBchek Blood Glucose Test Strips to check that the meter and test strips are working together properly and that the test is performing correctly.

Prescription Use (21 CFR Part 801 Subpart D)

Over the Counter Use _ X . (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 Diagnostics and Radiological Health (OIR)

Katherine Serrano -S

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

510(k) K122181