K Number
K140325
Device Name
Joinsoon EON L Glucose Monitoring System and Joinsoon EON LS Glucose Monitoring System
Date Cleared
2015-10-13

(610 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Joinsoon® EON L Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips. The Joinsoon® EON L Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes in a home setting as an aid to monitor the effectiveness of diabetes control. The Joinson® EON L Glucose Monitoring System should not be used for the diagnosis of circening of diabetes or for neonatal use. The Joinsoon® EON L Glucose Monitoring System is intended to be used by a single person and should not be shared. The Joinsoon® Single Strips are for use with the Joinsoon® EON L Glucose Meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips. The Joinsoon® Control Solution is for use with the Joinsoon® HON L Glucose Meter and Joinsoon® Single Strips as a quality control check to verify that the meter and test strips are working together properly, and that the test is performing correctly. The Joinsoon® EON LS Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips. The Joinsoon® EON LS Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes in a home setting as an aid to monitor the effectiveness of diabetes control. The Joinsoon® EON LS Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes or for neonatal use. The Joinsoon® EON LS Glucose Monitoring System is intended to be used by a single person and should not be shared. The Joinsoon® Snap Strips are for use with the Joinsoon® EON LS Glucose Meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips. The Joinsoon® Control Solution is for use with the Joinsoon® EON LS Glucose Meter and Joinsoon® Snap Strips as a quality control check to verify that the meter and test strips are working together properly and that the test is performing correctly.
Device Description
The Joinsoon® EON LS Glucose Monitoring system consists of: a Joinsoon® EON LS Glucose Meter and Joinsoon® Snap Strips. The Joinsoon® EON L Glucose Monitoring system consists of: a Joinsoon® EON L Glucose Meter and Joinsoon® Single Strips. Both systems utilize an electrochemical – method based meter and dry reagent biosensor (test strip) for blood glucose testing. The electron accumulates on the electrode when glucose reacts with the reagent on the electrode. A current can be detected by the Joinsoon® EON LS and EON L glucose meters when a constant voltage is applied across the electrodes. The current will be converted into glucose concentration by an embedded transfer function in the meter. The size of the current is proportional to the amount of glucose present in the sample, providing a quantitative measurement of glucose in fresh whole blood and control solutions. The Joinsoon® Snap Strips utilize the enzyme glucose oxidase. There is no-coding needed for use of the meter and test strips. The Joinsoon® Snap Strip has 10 individual test sections which can be used one at a time with the Joinsoon® EON LS Glucose Meter. Each test section has its own Reaction Zone with the Enzyme at one end, and contact pads at the other end. The Single Strips utilize the enzyme glucose oxidase. There is no-coding needed for use of the meter and test strips. The Joinsoon® EON L Glucose Monitoring system is sold with the following components: Joinsoon® EON L Glucose Meter, Joinsoon® Single Strips, control solution, lancet, lancing device, quick start user guide, user manual, warranty card and a carrying case. The Joinsoon® EON LS Glucose Monitoring system is sold with the following components: Joinsoon® EON LS Glucose Meter, Joinsoon® Snap Strips, control solution, lancet, lancing device, quick start user guide, user manual, warranty card and a carrying case.
More Information

Not Found

No
The device description details a standard electrochemical method for glucose measurement and conversion to concentration via an embedded transfer function, with no mention of AI or ML.

No
The device is an in vitro diagnostic (IVD) device used for monitoring glucose levels, not for treating any condition. Its purpose is to aid in monitoring the effectiveness of diabetes control, not to provide therapy.

Yes

The device is explicitly described as being for "in vitro diagnostic use" and its purpose is to "monitor the effectiveness of diabetes control," which are functions of a diagnostic device, even though it is specified not to be used for initial "diagnosis or screening of diabetes."

No

The device description explicitly states that the system consists of a glucose meter and test strips, which are hardware components used for quantitative measurement of glucose.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "The Joinsoon® EON L Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use)..." and "The Joinsoon® EON LS Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use)..."
  • Definition of IVD: An in vitro diagnostic device is a medical device that is used to perform tests on samples such as blood, urine, or tissue, to detect diseases or other conditions. This device measures glucose in blood samples.
  • Purpose: The intended use is to monitor the effectiveness of diabetes control, which is a diagnostic purpose performed outside the body.

N/A

Intended Use / Indications for Use

The Joinsoon® EON L Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips.
The Joinsoon® EON L Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes in a home setting as an aid to monitor the effectiveness of diabetes control. The Joinson® EON L Glucose Monitoring System should not be used for the diagnosis of circening of diabetes or for neonatal use.
The Joinsoon® EON L Glucose Monitoring System is intended to be used by a single person and should not be shared.
The Joinsoon® Single Strips are for use with the Joinsoon® EON L Glucose Meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips.
The Joinsoon® Control Solution is for use with the Joinsoon® HON L Glucose Meter and Joinsoon® Single Strips as a quality control check to verify that the meter and test strips are working together properly, and that the test is performing correctly.

The Joinsoon® EON LS Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips.
The Joinsoon® EON LS Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes in a home setting as an aid to monitor the effectiveness of diabetes control. The Joinsoon® EON LS Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes or for neonatal use.
The Joinsoon® EON LS Glucose Monitoring System is intended to be used by a single person and should not be shared.
The Joinsoon® Snap Strips are for use with the Joinsoon® EON LS Glucose Meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips.
The Joinsoon® Control Solution is for use with the Joinsoon® EON LS Glucose Meter and Joinsoon® Snap Strips as a quality control check to verify that the meter and test strips are working together properly and that the test is performing correctly.

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

NBW, CGA, JJX

Device Description

The Joinsoon® EON LS Glucose Monitoring system consists of: a Joinsoon® EON LS Glucose Meter and Joinsoon® Snap Strips. The Joinsoon® EON L Glucose Monitoring system consists of: a Joinsoon® EON L Glucose Meter and Joinsoon® Single Strips. Both systems utilize an electrochemical – method based meter and dry reagent biosensor (test strip) for blood glucose testing. The electron accumulates on the electrode when glucose reacts with the reagent on the electrode. A current can be detected by the Joinsoon® EON LS and EON L glucose meters when a constant voltage is applied across the electrodes. The current will be converted into glucose concentration by an embedded transfer function in the meter. The size of the current is proportional to the amount of glucose present in the sample, providing a quantitative measurement of glucose in fresh whole blood and control solutions.

The Joinsoon® Snap Strips utilize the enzyme glucose oxidase. There is no-coding needed for use of the meter and test strips. The Joinsoon® Snap Strip has 10 individual test sections which can be used one at a time with the Joinsoon® EON LS Glucose Meter. Each test section has its own Reaction Zone with the Enzyme at one end, and contact pads at the other end.

The Single Strips utilize the enzyme glucose oxidase. There is no-coding needed for use of the meter and test strips.

The Joinsoon® EON L Glucose Monitoring system is sold with the following components: Joinsoon® EON L Glucose Meter, Joinsoon® Single Strips, control solution, lancet, lancing device, quick start user guide, user manual, warranty card and a carrying case.

The Joinsoon® EON LS Glucose Monitoring system is sold with the following components: Joinsoon® EON LS Glucose Meter, Joinsoon® Snap Strips, control solution, lancet, lancing device, quick start user guide, user manual, warranty card and a carrying case.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fresh capillary whole blood samples drawn from the fingertips.

Indicated Patient Age Range

The Joinsoon® EON L Glucose Monitoring System should not be used for the diagnosis of circening of diabetes or for neonatal use.
The Joinsoon® EON LS Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes or for neonateal use.

Intended User / Care Setting

Home setting

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)

The accuracy study was performed by comparing whole blood (plasma equivalent) glucose values on the Joinsoon® EON LS and EON L Glucose Monitoring Systems, the predicate device and a lab instrument. A total of 150 participants were studied. The results demonstrated that the Joinsoon® EON LS and EON L Glucose Monitoring Systems met the acceptance criteria.

A user study was performed to demonstrate that lay users could use the Joinsoon® EON LS and EON L Glucose Monitoring Systems and obtain accurate results. The study was performed by 150 users. The results of the study met the acceptance criteria.

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.

K072543

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.

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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with three human profiles incorporated into its design.

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

JOINSOON MEDICAL TECHNOLOGY CO, LTD. MARIA GRIFFIN SENIOR CONSULTANT 55 NORTHERN BLVD. SUITE 200 GREAT NECK NY 11021

October 13, 2015

Re: K140325

Trade/Device Name: Joinsoon® EON L Glucose Monitoring System Joinsoon® E0N LS Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: II Product Code: NBW, CGA, JJX Dated: September 22, 2015 Received: September 24, 2015

Dear Maria Griffin:

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 (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.

1

If you desire specific advice for your device on our labeling regulations (21 CFR Parts 801 and 809), please contact the Division of Industry and Consumer Education 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" (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 Industry and Consumer Education 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 yours.

Katherine Serrano -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

Device Name

Joinsoon® EON L Glucose Monitoring System

Indications for Use (Describe)

The Joinsoon® EON L Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips.

The Joinsoon® EON L Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes in a home setting as an aid to monitor the effectiveness of diabetes control. The Joinson® EON L Glucose Monitoring System should not be used for the diagnosis of circening of diabetes or for neonatal use.

The Joinsoon® EON L Glucose Monitoring System is intended to be used by a single person and should not be shared.

The Joinsoon® Single Strips are for use with the Joinsoon® EON L Glucose Meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips.

The Joinsoon® Control Solution is for use with the Joinsoon® HON L Glucose Meter and Joinsoon® Single Strips as a quality control check to verify that the meter and test strips are working together properly, and that the test is performing correctly.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW."

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

Indications for Use

510(k) Number (if known) K140325

Device Name

Joinsoon® EON LS Glucose Monitoring System

Indications for Use (Describe)

The Joinsoon® EON LS Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips.

The Joinsoon® EON LS Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes in a home setting as an aid to monitor the effectiveness of diabetes control. The Joinsoon® EON LS Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes or for neonatal use.

The Joinsoon® EON LS Glucose Monitoring System is intended to be used by a single person and should not be shared.

The Joinsoon® Snap Strips are for use with the Joinsoon® EON LS Glucose Meter to quantitatively measure glucose in fresh capillary whole blood samples drawn from the fingertips.

The Joinsoon® Control Solution is for use with the Joinsoon® EON LS Glucose Meter and Joinsoon® Snap Strips as a quality control check to verify that the meter and test strips are working together properly and that the test is performing correctly.

Type of Use (Select one or both, as applicable)

| Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW."

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

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510(K) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

The assigned 510(k) number is: K140325 .

1. Submitter's Identification:

Joinsoon Medical Technology Co. Ltd. 19F, No 79, Sec. 1 Shintai 5th Road Shijih Dist., New Taipei City Taiwan Phone: +886 2 26984882 Fax: +886 2 26984883

Contact person: Dr. Jen Fang Lee, Vice President

Date Summary Prepared: 9/21/2015

2. Trade Name of the Device:

Joinsoon® EON LS Glucose Monitoring System which includes Joinsoon® EON LS Blood Glucose Meter, Joinsoon® Snap Strips and Joinsoon® Control Solutions.

Joinsoon® EON L Glucose Monitoring System which includes Joinsoon® EON L Blood Glucose Meter, Joinsoon® Single Strips and Joinsoon® Control Solutions.

3. Common or Usual Name and classification:

Common Name: glucose test system (OTC) Regulation: 862.1345 Product Code: NBW

Common Name: Quality Control Material (assayed and unassayed) Regulation: 862.1660 Product Code: JJX

Common Name: Glucose Oxidase Regulation: 862.1345 Product Code: CGA

4. Predicate Device Information:

Lifescan OneTouch® Select Glucose Monitoring System K072543

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5. Device Description:

The Joinsoon® EON LS Glucose Monitoring system consists of: a Joinsoon® EON LS Glucose Meter and Joinsoon® Snap Strips. The Joinsoon® EON L Glucose Monitoring system consists of: a Joinsoon® EON L Glucose Meter and Joinsoon® Single Strips. Both systems utilize an electrochemical – method based meter and dry reagent biosensor (test strip) for blood glucose testing. The electron accumulates on the electrode when glucose reacts with the reagent on the electrode. A current can be detected by the Joinsoon® EON LS and EON L glucose meters when a constant voltage is applied across the electrodes. The current will be converted into glucose concentration by an embedded transfer function in the meter. The size of the current is proportional to the amount of glucose present in the sample, providing a quantitative measurement of glucose in fresh whole blood and control solutions.

The Joinsoon® Snap Strips utilize the enzyme glucose oxidase. There is no-coding needed for use of the meter and test strips. The Joinsoon® Snap Strip has 10 individual test sections which can be used one at a time with the Joinsoon® EON LS Glucose Meter. Each test section has its own Reaction Zone with the Enzyme at one end, and contact pads at the other end.

The Single Strips utilize the enzyme glucose oxidase. There is no-coding needed for use of the meter and test strips.

The Joinsoon® EON L Glucose Monitoring system is sold with the following components: Joinsoon® EON L Glucose Meter, Joinsoon® Single Strips, control solution, lancet, lancing device, quick start user guide, user manual, warranty card and a carrying case.

The Joinsoon® EON LS Glucose Monitoring system is sold with the following components: Joinsoon® EON LS Glucose Meter, Joinsoon® Snap Strips, control solution, lancet, lancing device, quick start user guide, user manual, warranty card and a carrying case.

Indications for Use (Joinsoon® EON LS Glucose Monitoring System); 6.

The Joinsoon® EON LS Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips.

The Joinsoon® EON LS Glucose Monitoring System is intended for self-testing outside the body (in vitro diagonostic use) by people with diabetes in a home setting as an aide to monitor the effectiveness of diabetes control. The Joinsoon® EON LS Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes or for neonateal use.

The Joinsoon® EON LS Glucose Monitoring System is intended to be used by a single person and should not be shared.

The Joinsoon® Snap Strips are for use with the Joinsoon® EON LS Glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.

The Joinsoon® Control Solution is for use with Joinsoon® EON LS Glucose Meter and Joinsoon® Snap Strips as a quality control check to verify that the meter and test strip are working together

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properly, and that the test is performing correctly.

Indications for Use (Joinsoon® EON L Glucose Monitoring System):

The Joinsoon® EON L Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips.

The Joinsoon® EON L Glucose Monitoring System is intended for self-testing outside the body (in vitro diagonostic use) by people with diabetes in a home setting as an aide to monitor the effectiveness of diabetes control. The Joinsoon® EON L Glucose Monitoring System should not be used for the diagnosis of or screening of diabetes or for neonateal use.

The Joinsoon® EON L Glucose Monitoring System is intended to be used by a single person and should not be shared.

The Joinsoon® Single Strips are for use with the Joinsoon® EON L Glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.

The Joinsoon® Control Solution is for use with Joinsoon® EON L Glucose Meter and Joinsoon® Single 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.

7. Special condition for use statement(s):

The Joinsoon® Snap Strips and Joinsoon® Control Solution are to be used only with the Joinsoon® EON LS Blood Glucose Meter to test glucose in finger stick capillary whole blood only. This meter is not to be used for Alternate Site Testing or Neonatal Testing

The Joinsoon® Single Strips and Joinsoon® Control Solution are to be used only with the Joinsoon® EON L Blood Glucose Meter to test glucose in finger stick capillary whole blood only. This meter is not to be used for Alternate Site Testing or Neonatal Testing.

8. Technological Comparison to Predicate Devices:

The Joinsoon® EON L and EON LS Blood Glucose Test systems utilize the same technology as the predicate device. The similarities and differences between the devices can be seen in the chart below:

| Item | Joinsoon EON LS
Glucose Monitoring | Joinsoon EON L
Glucose Monitoring | OneTouch Select
Glucose |
|------------------------|---------------------------------------|--------------------------------------------|----------------------------------------|
| description | | | |
| Indications for
Use | Difference in test
site: | Difference in test site:
Fingertip only | Difference in test sites:
alternate |
| Setting | At home | At home | At home and in a clinical |
| Method | Amperometry | Amperometry | Same |
| Assay Method | Glucose Oxidase | Glucose Oxidase | Glucose Oxidase |
| Memory | 1000 blood and 250 | 1000 blood and 250 | 350 blood or control |
| Sample Type | Fresh capillary | Fresh capillary whole | Fresh capillary whole |
| Strip Coding | No Coding | No Coding | Coding required |
| Result range | 20 mg/dL to 600 | 20 mg/dL to 600 mg/dL | 20 mg/dL to 600 mg/dL |
| Test Time | 4 sec | 4 sec | 5 sec |

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CalibrationPlasma-equivalentPlasma-equivalentPlasma-equivalent
Power Required3V Lithium CR20323V Lithium CR2032 Coin3V Lithium CR2032 Coin
Test Strip TypeSnap Strips with 10Single UseSingle Use
EnzymeGlucose OxidaseGlucose OxidaseGlucose Oxidase
Hematocrit30%~55%30%~55%30%~55%
Sample Volume0.8µl0.8µl1.0µl
Similarity and Difference of the Control Solutions
Item descriptionJoinsoon Control SolutionsOneTouch Select Control
Solutions
Indications for UseTo check that the glucose
meter and test strips are
working together properly and
that the test is performing
correctly.Same
MatrixViscosity-adjusted, aqueous
liquid.Same
Number of Levels3 Levels2 Levels

Discussion of substantial equivalence:

The main differences are that the Joinsoon® EON LS and EON L Glucose Monitoring systems does not require coding and the predicate device uses coding. The user study shows that this difference does not impact the performance of the device. In addition, the predicate only provides for the use of two levels of control solution whereas the Joinsoon® EON LS and EON L Glucose Monitoring Systems provide a third control solution for use. This does not raise any new concern for safety or effectiveness as it provides for an additional level of control testing. Joinsoon® EON LS and EON L Glucose Monitoring systems are also able to store more glucose readings than the predicate device. This feature does not pose any new safety or effectiveness risk to the user per the Software V&V testing.

9. Discussion of Non-Clinical Tests Performed for Determination of Substantial Equivalence are as follows:

The Joinsoon EON LS and EON L Glucose Monitoring systems were tested according non-clinical tests including the following standards:

DescriptionStandard reference
Electromagnetic
Compatibility/ESDIEC 61326-1:2005
IEC 61326-2-6:2005
IEC 60601-1-2:2007
EmissionCISPR 11:2009+A1:2010 (Class B)
ImmunityIEC 61000-4-2:2008; IEC 61000-4-3:2010;
IEC 61000-4-6:2008; IEC 61000-4-8:2009
LinearityCLSI EP6-A
InterferenceCLSI EP7-A2
TraceabilityISO 17511:2003
Stability TestCLSI EP25-A
PrecisionCLSI EP5-A2

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The studies were performed by third party laboratories or by qualified personnel as referenced in the supporting documentation in the submission. All of the evaluated performances met the predetermined acceptance criteria set in the study protocol.

Discussion of Clinical Tests Performed: 10.

The accuracy study was performed by comparing whole blood (plasma equivalent) glucose values on the Joinsoon® EON LS and EON L Glucose Monitoring Systems, the predicate device and a lab instrument. A total of 150 participants were studied. The results demonstrated that the Joinsoon® EON LS and EON L Glucose Monitoring Systems met the acceptance criteria.

A user study was performed to demonstrate that lay users could use the Joinsoon® EON LS and EON L Glucose Monitoring Systems and obtain accurate results. The study was performed by 150 users. The results of the study met the acceptance criteria.

11. Conclusions:

In conclusion, based on the acceptable results of the testing we conclude that the Joinsoon® EON LS and EON L Glucose Monitoring systems are substantially equivalent to the predicate device.