K Number
K131013
Device Name
FOCUS BLOOD GLUCOSE MONITORING SYSTEM, FOCUS PRO BLOOD GLUCOSE MONITORING SYSTEM
Date Cleared
2013-10-17

(189 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The FOCUS Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood obtained from the fingertip or forearm. Intended to be used by a single patient and should not be shared. Intended for self-testing outside the body by people with diabetes mellitus as an aid to monitor the effectiveness of diabetes control. Alternative site testing on the forearm can be used only during steady-state blood glucose conditions. Not intended for the diagnosis of or screening for diabetes, and not intended for use on neonates. FOCUS Blood Glucose Test Strips are used only with FOCUS Meters to quantitatively measure whole blood glucose in fresh, human capillary whole blood taken from the fingertip or forearm. FOCUS Control Solution is for use with FOCUS and FOCUS PRO Meters and Test Strips as a quality control check to verify that the meter and test strip are working together properly, and that the test is performing correctly. The FOCUS PRO Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in venous and arterial whole blood and in fresh capillary whole blood obtained from the fingertip or forearm. Intended for testing outside the body (in vitro diagnostic use) for multi-patient use in a professional healthcare setting as an aid to monitor the effectiveness of a diabetes control program. This system should only be used with sing-use, auto-disabling lancing devices. Alternative site testing on the forearm should be used only during steady-state blood glucose conditions. Not intended for the diagnosis of or screening for diabetes, and not intended for use on neonates. FOCUS PRO Blood Glucose Test Strips are used only with FOCUS PRO Meters for the quantitative measurement of glucose in venous and arterial whole blood and in fresh capillary whole blood taken from the fingertip or forearm. FOCUS Control Solution is for use with FOCUS and FOCUS PRO Meters and Test Strips as a quality control check to verify that the meter and test strip are working together properly, and that the test is performing correctly.
Device Description
The FOCUS and FOCUS Pro Blood Glucose Monitoring Systems are comprised of glucose reagent test strips using glucose dehydrogenase flavin-adenine dinucleotide chemistry (GDH-FAD), a portable hand-held electronic meter and glucose control solutions. The FOCUS and FOCUS Pro Blood Glucose Monitoring Systems are identical and include identical components (test strips, meter, control solutions), differing only in name to identify the intended user of the system. The FOCUS Blood Glucose Monitoring System is intended for single-patient use (self-testing) and the FOCUS Pro Blood Glucose Monitoring System is intended for multi-patient use (healthcare professional user). When a user inserts a test strip into the meter, the meter turns on. While the test strip is in the meter, the user obtains a blood or glucose control sample, and then applies the sample to the test strip by touching the test strip to the sample. When an adequate amount of sample has been applied to the test strip, the meter emits an audible beep (when this feature is selected by the user) and the test begins. The meter's liquid crystal display (LCD) shows a test is in process by counting down from the number 4. When the test is complete, the meter displays the glucose result. Blood glucose results are plasma-calibrated to facilitate comparison to standard laboratory methods of blood glucose measurement. The Blood Glucose Meter is a handheld device powered by one 3-volt nonrechargeable lithium battery. The meter includes a Test Port for insertion of a single test strip, an LCD display, a test strip release button, and buttons to navigate through menu choices. Meter operation is self-prompting using three user interface buttons. In addition to measuring glucose, the Meter also stores blood glucose and control solution results. The Meter offers audible feedback for user inputs, and audible and/or visual feedback for prompts and user alerts. A "battery low" warning alerts the user to change the batteries. Battery charge information is available on the "Meter status screen". The user can select the auto shutoff option to conserve power when the Meter is not in use. Test data and Meter setup information will be stored in a non-volatile form to prevent data loss. Meter Power Supply: The meter uses single volt (3V) lithium, non rechargeable battery (# CR2032). Theoretical battery life is approximately 1 year or 1000 tests, when testing is performed three times per day. No-Coding System. The user is not required to enter a test strip lot-specific Calibration Code into the meter by pressing a button or by inserting a Code Key. FOCUS and FOCUS Pro test strips are assigned only one code and this single code is used for all strip lots. Glucose Control Solutions are aqueous assayed solutions, containing buffered D-Glucose, viscosity-adjusting agent, preservatives and other nonreactive ingredients (dye). They contain no products of human origin. There are three leveis of controls, (Levels 1, 2 and 3). When a control solution sample is applied to the FOCUS or FOCUS Pro test strip, the meter automatically detects and identifies the glucose control sample using an impedance measurement while performing the glucose measurement. After identifying the sample as control solution, the meter marks the result with the control solution icon and stores the marked result in the meter memory. All control results are excluded from the glucose patient result average calculations. The FOCUS and FOCUS Pro Blood Glucose Monitors measure glucose electrochemically as described in the Nova One Glucose Monitor System (K122435). In the same manner, the magnitude of the current is proportional to the amount of glucose present in the sample, providing a quantitative measure of glucose in whole blood and control solutions.
More Information

Not Found

No
The device description focuses on electrochemical measurement and standard meter functions, with no mention of AI or ML.

No.
Explanation: The device is intended for the quantitative measurement of glucose to aid in monitoring the effectiveness of diabetes control, not to treat or prevent the disease.

Yes

The device's intended use is to aid in monitoring the effectiveness of diabetes control by quantitatively measuring glucose in blood, which is a diagnostic purpose. However, it explicitly states it is "Not intended for the diagnosis of or screening for diabetes." This creates a contradiction. Given its function of measuring a biomarker (glucose) to assess control of a disease, it falls under the umbrella of a diagnostic device that aids in monitoring, even if not for initial diagnosis.

No

The device description explicitly states the system is comprised of glucose reagent test strips, a portable hand-held electronic meter, and glucose control solutions, indicating significant hardware components beyond just software.

Based on the provided text, the device is indeed an IVD (In Vitro Diagnostic).

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section for the FOCUS PRO Blood Glucose Monitoring System explicitly states: "Intended for testing outside the body (in vitro diagnostic use) for multi-patient use in a professional healthcare setting..."
  • Nature of the Test: Both the FOCUS and FOCUS PRO systems are designed to measure glucose in blood samples outside the body. This is the fundamental characteristic of an in vitro diagnostic device.
  • Purpose: The systems are intended as an aid to monitor the effectiveness of diabetes control, which is a diagnostic purpose related to a medical condition.

While the FOCUS system for self-testing doesn't explicitly use the term "in vitro diagnostic use" in its intended use statement, its function and the description of the FOCUS PRO system (which is explicitly labeled as IVD and is described as identical except for the intended user) strongly indicate that both systems fall under the category of IVD devices. The measurement of glucose in blood samples in vitro (outside the body) is the core function.

N/A

Intended Use / Indications for Use

The FOCUS Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood obtained from the fingertip or forearm. Intended to be used by a single patient and should not be shared. Intended for self-testing outside the body by people with diabetes mellitus as an aid to monitor the effectiveness of diabetes control. Alternative site testing on the forearm can be used only during steady-state blood glucose conditions. Not intended for the diagnosis of or screening for diabetes, and not intended for use on neonates.

FOCUS Blood Glucose Test Strips are used only with FOCUS Meters to quantitatively measure whole blood glucose in fresh, human capillary whole blood taken from the fingertip or forearm.

FOCUS Control Solution is for use with FOCUS and FOCUS PRO Meters and Test Strips as a quality control check to verify that the meter and test strip are working together properly, and that the test is performing correctly.

The FOCUS PRO Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in venous and arterial whole blood and in fresh capillary whole blood obtained from the fingertip or forearm. Intended for testing outside the body (in vitro diagnostic use) for multi-patient use in a professional healthcare setting as an aid to monitor the effectiveness of a diabetes control program. This system should only be used with sing-use, auto-disabling lancing devices. Alternative site testing on the forearm should be used only during steady-state blood glucose conditions. Not intended for the diagnosis of or screening for diabetes, and not intended for use on neonates.

FOCUS PRO Blood Glucose Test Strips are used only with FOCUS PRO Meters for the quantitative measurement of glucose in venous and arterial whole blood and in fresh capillary whole blood taken from the fingertip or forearm.

FOCUS Control Solution is for use with FOCUS and FOCUS PRO Meters and Test Strips as a quality control check to verify that the meter and test strip are working together properly, and that the test is performing correctly.

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

NBW, LFR, JJX

Device Description

The FOCUS and FOCUS Pro Blood Glucose Monitoring Systems are comprised of glucose reagent test strips using glucose dehydrogenase flavin-adenine dinucleotide chemistry (GDH-FAD), a portable hand-held electronic meter and glucose control solutions.

The FOCUS and FOCUS Pro Blood Glucose Monitoring Systems are identical and include identical components (test strips, meter, control solutions), differing only in name to identify the intended user of the system. The FOCUS Blood Glucose Monitoring System is intended for single-patient use (self-testing) and the FOCUS Pro Blood Glucose Monitoring System is intended for multi-patient use (healthcare professional user).

When a user inserts a test strip into the meter, the meter turns on. While the test strip is in the meter, the user obtains a blood or glucose control sample, and then applies the sample to the test strip by touching the test strip to the sample. When an adequate amount of sample has been applied to the test strip, the meter emits an audible beep (when this feature is selected by the user) and the test begins. The meter's liquid crystal display (LCD) shows a test is in process by counting down from the number 4. When the test is complete, the meter displays the glucose result. Blood glucose results are plasma-calibrated to facilitate comparison to standard laboratory methods of blood glucose measurement.

The Blood Glucose Meter is a handheld device powered by one 3-volt nonrechargeable lithium battery. The meter includes a Test Port for insertion of a single test strip, an LCD display, a test strip release button, and buttons to navigate through menu choices. Meter operation is self-prompting using three user interface buttons. In addition to measuring glucose, the Meter also stores blood glucose and control solution results. The Meter offers audible feedback for user inputs, and audible and/or visual feedback for prompts and user alerts. A "battery low" warning alerts the user to change the batteries. Battery charge information is available on the "Meter status screen". The user can select the auto shutoff option to conserve power when the Meter is not in use. Test data and Meter setup information will be stored in a non-volatile form to prevent data loss.

Meter Power Supply: The meter uses single volt (3V) lithium, non rechargeable battery (# CR2032). Theoretical battery life is approximately 1 year or 1000 tests, when testing is performed three times per day.

No-Coding System. The user is not required to enter a test strip lot-specific Calibration Code into the meter by pressing a button or by inserting a Code Key. FOCUS and FOCUS Pro test strips are assigned only one code and this single code is used for all strip lots.

Glucose Control Solutions are aqueous assayed solutions, containing buffered D-Glucose, viscosity-adjusting agent, preservatives and other nonreactive ingredients (dye). They contain no products of human origin. There are three leveis of controls, (Levels 1, 2 and 3).

When a control solution sample is applied to the FOCUS or FOCUS Pro test strip, the meter automatically detects and identifies the glucose control sample using an impedance measurement while performing the glucose measurement. After identifying the sample as control solution, the meter marks the result with the control solution icon and stores the marked result in the meter memory. All control results are excluded from the glucose patient result average calculations.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Fingertip, forearm, venous, arterial

Indicated Patient Age Range

Not intended for use on neonates.

Intended User / Care Setting

FOCUS Blood Glucose Monitoring System: single-patient use (self-testing)
FOCUS Pro Blood Glucose Monitoring System: multi-patient use (professional healthcare setting) by healthcare professional user

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)

Performance Studies:
The performance of the FOCUS and FOCUS Pro Blood Glucose Monitors was studied in the laboratory and in Human Factors testing by healthcare professionals and lay users. The studies demonstrated that lay users can obtain blood glucose results that are substantially equivalent to the current methods for blood glucose measurements.

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.

K122435: Nova Biomedical Corporation Nova One Glucose Monitor System

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

§ 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

KI3JOB

510(k) Summary

:

:

.

.

:

510(K) Owner:Nova Biomedical Corporation
Address:200 Prospect St.
Waltham, MA 02454
Phone:781-894-0800
Fax Number:784-891-4806
Registration
Number:1219029
Contact Person:Paul W. MacDonald
Date Prepared:01 April 2013
Proprietary
Name:FOCUS Blood Glucose Monitoring System
FOCUS Pro Blood Glucose Monitoring System
Common Or
Usual Name:Glucose Test System (Glucose Meter, Test Strips, and Glucose Controls)
Classification
Name:Glucose Dehydrogenase, Glucose
Device
Classification:II
Regulation
Number:21 CFR § 862.1345
Product Codes:NBW, LFR, JJX
Predicate
Device(s):K122435: Nova Biomedical Corporation Nova One Glucose Monitor System
Intended Use:The FOCUS Blood Glucose Monitoring System is intended for the quantitative
measurement of glucose in fresh capillary whole blood obtained from the fingertip
or forearm. Intended to be used by a single patient and should not be shared.
Intended for self-testing outside the body by people with diabetes mellitus as an
aid to monitor the effectiveness of diabetes control. Alternative site testing on the
forearm can be used only during steady-state blood glucose conditions. Not
intended for the diagnosis of or screening for diabetes, and not intended for use
on neonates.

FOCUS Blood Glucose Test Strips are used only with FOCUS Meters to
quantitatively measure whole blood glucose in fresh, human capillary whole blood
taken from the fingertip or forearm.

FOCUS Control Solution is for use with FOCUS and FOCUS PRO Meters and
Test Strips as a quality control check to verify that the meter and test strip are
working together properly, and that the test is performing correctly. |

OCT 17 2013:

1

The FOCUS PRO Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in venous and arterial whole blood and in fresh capillary whole blood obtained from the fingertip or forearm. Intended for testing outside the body (in vitro diagnostic use) for multipatient use in a professional healthcare setting as an aid to monitor the effectiveness of a diabetes control program. This system should only be used with sing-use, auto-disabling lancing devices. Alternative site testing on the forearm should be used only during steady-state blood glucose conditions. Not intended for the diagnosis of or screening for diabetes, and not intended for use on neonates.

FOCUS PRO Blood Glucose Test Strips are used only with FOCUS PRO Meters for the quantitative measurement of glucose in venous and arterial whole blood and in fresh capillary whole blood taken from the fingertip or forearm.

FOCUS Control Solution is for use with FOCUS and FOCUS PRO Meters and Test Strips as a quality control check to verify that the meter and test strip are working together properly, and that the test is performing correctly.

The FOCUS and FOCUS Pro Blood Glucose Monitoring Systems are comprised of glucose reagent test strips using glucose dehydrogenase flavin-adenine dinucleotide chemistry (GDH-FAD), a portable hand-held electronic meter and glucose control solutions.

The FOCUS and FOCUS Pro Blood Glucose Monitoring Systems are identical and include identical components (test strips, meter, control solutions), differing only in name to identify the intended user of the system. The FOCUS Blood Glucose Monitoring System is intended for single-patient use (self-testing) and the FOCUS Pro Blood Glucose Monitoring System is intended for multi-patient use (healthcare professional user).

When a user inserts a test strip into the meter, the meter turns on. While the test strip is in the meter, the user obtains a blood or glucose control sample, and then applies the sample to the test strip by touching the test strip to the sample. When an adequate amount of sample has been applied to the test strip, the meter emits an audible beep (when this feature is selected by the user) and the test begins. The meter's liquid crystal display (LCD) shows a test is in process by counting down from the number 4. When the test is complete, the meter displays the glucose result. Blood glucose results are plasma-calibrated to facilitate comparison to standard laboratory methods of blood glucose measurement.

The Blood Glucose Meter is a handheld device powered by one 3-volt nonrechargeable lithium battery. The meter includes a Test Port for insertion of a single test strip, an LCD display, a test strip release button, and buttons to navigate through menu choices. Meter operation is self-prompting using three user interface buttons. In addition to measuring glucose, the Meter also stores blood glucose and control solution results. The Meter offers audible feedback for user inputs, and audible and/or visual feedback for prompts and user alerts. A "battery low" warning alerts the user to change the batteries. Battery charge information is available on the "Meter status screen". The user can select the auto shutoff option to conserve power when the Meter is not in use. Test data and Meter setup information will be stored in a non-volatile form to prevent data loss.

Device Description:

2

Meter Power Supply: The meter uses single volt (3V) lithium, non rechargeable battery (# CR2032). Theoretical battery life is approximately 1 year or 1000 tests, when testing is performed three times per day.

No-Coding System. The user is not required to enter a test strip lot-specific Calibration Code into the meter by pressing a button or by inserting a Code Key. FOCUS and FOCUS Pro test strips are assigned only one code and this single code is used for all strip lots.

Glucose Control Solutions are aqueous assayed solutions, containing buffered D-Glucose, viscosity-adjusting agent, preservatives and other nonreactive ingredients (dye). They contain no products of human origin. There are three leveis of controls, (Levels 1, 2 and 3).

When a control solution sample is applied to the FOCUS or FOCUS Pro test strip, the meter automatically detects and identifies the glucose control sample using an impedance measurement while performing the glucose measurement. After identifying the sample as control solution, the meter marks the result with the control solution icon and stores the marked result in the meter memory. All control results are excluded from the glucose patient result average calculations.

Summary of the Technological Characteristics: The FOCUS and FOCUS Pro Blood Glucose Monitors have the same fundamental scientific technology and the same intended use as the predicate Nova One Glucose Monitor System (K122435).

The FOCUS and FOCUS Pro Blood Glucose Monitors measure glucose electrochemically as described in the Nova One Glucose Monitor System (K122435). In the same manner, the magnitude of the current is proportional to the amount of glucose present in the sample, providing a quantitative measure of glucose in whole blood and control solutions.

fundamental scientific technology and have the same intended use as the

The FOCUS and FOCUS Pro Biood Glucose Monitors use the same

predicate Nova One Glucose Monitor System (K122435).

Comparison to Predicate Devices:

Performance Studies:

The performance of the FOCUS and FOCUS Pro Blood Glucose Monitors was studied in the laboratory and in Human Factors testing by healthcare professionals and lay users. The studies demonstrated that lay users can obtain blood glucose results that are substantially equivalent to the current methods for blood glucose measurements.

Conclusion: Results of laboratory and Human Factors testing demonstrate that the performance of the FOCUS and FOCUS Pro Blood Glucose Monitors have the same intended uses, with similar technological characteristics and can produce results that are substantially equivalent to results obtained on the predicate devices. The systems perform as intended and raise no new safety or effectiveness issues.

3

liernation of the finances for ass on moonatoo.
Itemative site testing on the forearm should
e used only during steady-state blood
lucose conditions. 122435: Nova One System Professional Monitori edicate Device 20 - 600 oCUS PRO Blood Glucose Test Strips are
ed only with FOCUSS PRO Meters for Meters for Mare
antitative measurement of the Meters for Areast of Arman
nous and arterial whole blo FOCUS PRO Blood Glucose Monitori
System (Professional Monitoring) ng together properly, and that IS Control Solution is for use t
IS and FOCUS PRO Meter and Meter and the see a
that the meter and test strips ometric Electrochemical Senso is performing correc or foream 20 - 600 for FOCUS Blood Glucose Test Strips are used
only with FOCUS Meters to quantitatively
measure whole blood glucose in fresh, links
measure whole blood glucose in fresh many t intended for the diagnosis of or screening
diabetes, and not intended for use on OCUS Blood Glucose Monitoring System
Self-Monitoring) FOODS Biood Glucose Monitorias
Alam Andre Maniforne Monitorial Colliany
Palante Maniforne of Costa Marillany
Paraman Antalina County Collection Comments of Comments on Comme betes mellitus as an aid to more of a more home methor mess of energenerality and the mess of diveness of diveness of disable for and one on one of one of one of one of one o orking together properly, and that
st is performing correctly. CUS Control Solution is for uss
CUS and FOCUS PRO Meter Child Meter of Strips and For the Strips as a stription in the strip ulometric Electrochemical Sens or foream neonates 20 - 600 leasurement Range Operating Principl Jse/Intended Use HARACTERIST ndications for

ble 0-1: Comparison of Proposed Devices and Predicate devic

Page 4 of

4

| CHARACTERISTIC | FOCUS Blood Glucose Monitoring System
(Self-Monitoring) | FOCUS PRO Blood Glucose Monitoring
System (Professional Monitoring) | Predicate Device
K122435: Nova One System
(Professional Monitoring) |
|---------------------------------------|-----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|
| Hematocrit Range (%) | 25 - 60 | 25 - 60 | 25 - 60 |
| Sample Type | Capillary whole blood from the fingertip, forearm | Venous, arterial whole blood and capillary
whole blood from the fingertip, forearm | Venous, arterial whole blood and capillary
whole blood from the fingertip, forearm |
| Sample Size | 0.4µL | 0.4µL | 0.4µL |
| Glucose Units | mg/dL | mg/dL | mg/dL |
| Sample Application | Capillary action of test strip | Capillary action of test strip | Capillary action of test strip |
| Handheld Meter | Yes | Yes | Yes |
| Meter Data Storage | Up to 400 blood and control solution results | Up to 400 blood and control solution results | Up to 400 blood and control solution results |
| Analysis Time
(seconds) | 4 | 4 | 4 |
| Insulin Tracking | No | No | No |
| Power Source | One 3-volt coin cell battery | One 3-volt coin cell battery | One 3-volt coin cell battery |
| Test Strip Ejector | Yes | Yes | Yes |
| Test Strip Active
Reagent (Enzyme) | Glucose Dehydrogenase - FAD | Glucose Dehydrogenase - FAD | Glucose Dehydrogenase - FAD |
| Test Strip Calibration
Coding | No coding. No user input of calibration code
required | No coding. No user input of calibration code
required | No coding. No user input of calibration code
required |
| Controls | Liquid, 3 levels | Liquid, 3 levels | Liquid, 3 levels |
| Automatic Control
Detection | Yes, identifies Control sample as Control. | Yes, identifies Control sample as Control | N/A |
| Lancing Device | Reusable lancing device and sterile lancets | Single use disposable safety lancets (not
supplied) | Nova single use disposable safety lancets |
| Ketone Alert | Yes, when glucose value is above 240 mg/dL.
Feature can be turned on/off by the user
during set up. | Yes, when glucose value is above 240 mg/dL.
Feature can be turned on/off by the user
during set up. | N/A |

.

Page 5 of 5

5

DEPARTMENT OF HEALTII & HUMAN SERVICES

Public Health Service

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

October 17, 2013

Nova Biomedical Corporation c/o Paul W. MacDonald, Ph.D. 200 Prospect St. WALTHAM MA 02454-9141

Re: K131013

Trade/Device Name: Focus Blood Glucose Monitoring System Focus Pro Blood Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: II Product Code: NBW, LFR, JJX Dated: October 11, 2013 Received: October 15, 2013

Dear Dr. MacDonald:

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.

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 (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.

6

Page 2-Dr. MacDonald

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/ResourcesforYou/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/MedicalDcvices/Salcty/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/ResourcesforYou/Industry/default.htm.

Sincerely vours.

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

7

Indications for Use Form

510(k) Number (if known): K131013

FOCUS Blood Glucose Monitoring System Device Name:

Indications for Use:

The FOCUS Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood obtained from the fingertip or forearm. Intended to be used by a single patient and should not be shared. Intended for self-testing outside the body by people with diabetes mellitus as an aid to monitor the effectiveness of diabetes control. Aitemative site testing on the forearm can be used only during steady-state blood glucose conditions. Not intended for the diagnosis of or screening for diabetes, and not intended for use on neonates.

FOCUS Blood Glucose Test Strips are used only with FOCUS Meters to quantitatively measure whole blood glucose in fresh, human capillary whole blood taken from the fingertip or forearm.

FOCUS Control Solution is for use with FOCUS and FOCUS PRO Meters and Test Strips as a quality control check to verify that the meter and test strip are working together properly, and that the test is performing correctly.

Prescription Use

AND/OR

Over-The-Counter Use ×

(Part 21 CFR 801 Subpart D)

(21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Devices and Radiologic Health (OIR)

Stayce Beck

Division Sign-Off Office of In Vitro Devices and Radiologic Health

510(k) _

Page 1 of 1

8

Indications for Use Form

510(k) Number (if known): K131013 FOCUS Pro Blood Glucose Monitoring System Device Name:

Indications for Use:

The FOCUS PRO Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in venous and arterial whole blood and in fresh capillary whole blood obtained from the fingertip or forearm. Intended for testing outside the body (in vitro diagnostic use) for multi-patient use in a professional healthcare setting as an aid to monitor the effectiveness of a diabetes control program. This system should only be used with sing-use, auto-disabling lancing devices. Alternative site testing on the foream should be used only during steady-state blood glucose conditions. Not intended for the diagnosis of or screening for diabetes, and not intended for use on neonates.

FOCUS PRO Blood Glucose Test Strips are used only with FOCUS PRO Meters for the quantitative measurement of glucose in venous and arterial whole blood and in fresh capillary whole blood taken from the fingertip or forearm.

FOCUS Control Solution is for use with FOCUS and FOCUS PRO Meters and Test Strips as a quality control check to verify that the meter and test strip are working together properly, and that the test is performing correctly.

Prescription Use ×

AND/OR

Over-The-Counter Use ×

(Part 21 CFR 801 Subpart D)

(21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Devices and Radiologic Health (OIR)

Stayce Beck

Division Sign-Off Office of In Vitro Devices and Radiologic Health

510(k) .

Page 1 of 1