K Number
K141036
Device Name
BGM009 BLOOD GLUCOSE MONITORING SYSTEM
Date Cleared
2015-05-01

(374 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The BGM009 Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips, forearm, or palm. Alternative site testing should be performed only during steady-state (when glucose is not changing rapidly). The device includes speaking functions but is not intended for use in visually impaired users. It is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid in monitoring the effectiveness of diabetes control and should only be used by a single patient and it should not be shared. It is not indicated for the diagnosis or screening of diabetes or for neonatal use. The BGM009 Blood Glucose Test Strips are to be used with the BGM009 Blood Glucose Meter to quantitatively measure glucose in capillary whole blood taken from fingertips, palm, or forearm.
Device Description
The BGM009 blood glucose meter and BGM009 test strips are used for testing of blood glucose.
More Information

No
The summary describes a standard blood glucose monitoring system and does not mention any AI or ML capabilities. The performance studies focus on standard analytical and clinical accuracy, not AI/ML model performance.

No

Explanation: The device is a blood glucose monitoring system, used for quantitative measurement of glucose to aid in monitoring diabetes control. It is an in vitro diagnostic device, not a therapeutic device.

No

The "Intended Use / Indications for Use" section explicitly states, "It is not indicated for the diagnosis or screening of diabetes or for neonatal use." This indicates it is for monitoring, not diagnosis.

No

The device description explicitly mentions a "blood glucose meter and BGM009 test strips," which are hardware components. The performance studies also include testing related to hardware aspects like battery life, drop testing, and disinfection performance of the meter.

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

The "Intended Use / Indications for Use" section explicitly states:

  • "It is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home..."

This statement clearly identifies the device as being used for testing biological samples (blood) outside of the body to provide information about a person's health condition (glucose levels related to diabetes), which is the definition of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The BGM009 Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips, forearm, or palm. Alternative site testing should be performed only during steady-state (when glucose is not changing rapidly). The device includes speaking functions but is not intended for use in visually impaired users. It is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid in monitoring the effectiveness of diabetes control and should only be used by a single patient and it should not be shared. It is not indicated for the diagnosis or screening of diabetes or for neonatal use.

The BGM009 Blood Glucose Test Strips are to be used with the BGM009 Blood Glucose Meter to quantitatively measure glucose in capillary whole blood taken from fingertips, palm, or forearm.

Product codes

NBW, CGA

Device Description

The BGM009 blood glucose meter and BGM009 test strips are used for testing of blood glucose.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingertips, forearm, or palm

Indicated Patient Age Range

Not Found

Intended User / Care Setting

self testing outside the body (in vitro diagnostic use) by 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 Testing: Testing was conducted as follows: EMC and Electrical Safety, test strip holder reliability testing, battery life verification, drop testing, disinfection performance (robustness of meter to multiple cleanings and disinfections), software verification and validation, and linearity testing with validation of Lo/Hi detection, temperature and humidity testing, sample volume verification, precision testing, interferences testing, altitude testing, qualification of control solutions, hematocrit performance testing, disinfection testing with recommended disinfectant wipes was done using an animal virus test model. Results demonstrate substantial equivalence to the predicate system.
Clinical Testing: An accuracy study was conducted with home users, including evaluation of ease of use and ease of understanding of the user manual. Results demonstrate substantial equivalence to the predicate system.

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

Not Found

Predicate Device(s)

K113208

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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Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the edge. Inside the circle is a stylized image of three human profiles facing to the right, with three curved lines above them.

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

2015 May 1,

APEX BIOTECHNOLOGY CORP. HSUE-MEI LEE, MANAGER OF QUALITY ASSURANCE DEPT. NO. 7, LI-HSIN ROAD V, HSINCHU SCIENCE PARK HSINCHU 30078, TAIWAN

Re: K141036

Trade/Device Name: BGM009 Blood Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: II Product Code: NBW, CGA Dated: April 22, 2015 Received: April 23, 2015

Dear Hsue-mei Lee:

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.

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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/Resourcesfor You/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.

Courtney H Lias -S

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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

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

510(k) Number (if known) K141036

Device Name BGM009 Blood Glucose Monitoring System

Indications for Use (Describe)

The BGM009 Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips, forearm, or palm. Alternative site testing should be performed only during steady-state (when glucose is not changing rapidly). The device includes speaking functions but is not intended for use in visually impaired users. It is intended for self testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid in monitoring the effectiveness of diabetes control and should only be used by a single patient and it should not be shared. It is not indicated for the diagnosis or screening of diabetes or for neonatal use.

The BGM009 Blood Glucose Test Strips are to be used with the BGM009 Blood Glucose Meter to quantitatively measure glucose in capillary whole blood taken from fingertips, palm, or forearm.

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."

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510(k) Summary

Submitter:Apex Biotechnology Corp.
No. 7, Li-Hsin Road V, Hsinchu Science Park
Hsinchu, 30078
CHINA (TAIWAN)
Contact Person:Hsue-mei Lee
Manager of Quality Assurance Department
Apex Biotechnology Corp.
No. 7, Li-Hsin Road V, Hsinchu Science Park
Hsinchu, 30078
CHINA (TAIWAN)
email: hsue-mei@apexbio.com
Phone: 011-886-3-5641952
FAX: 011-886-3-5678302
Date Prepared:Septebmer 10, 2014
Trade Names:BGM009 Blood Glucose Monitoring System
Classification:Glucose test system, 21 CFR 862.1345, Class II
Product Codes:CGA, NBW
Predicate Devices:AutoSure Voice II Plus Blood Glucose Monitoring System (K113208)
Device Description:The BGM009 blood glucose meter and BGM009 test strips are used for
testing of blood glucose.
Intended Use:The BGM009 Blood Glucose Monitoring System is intended for the
quantitative measurement of glucose in fresh capillary whole blood samples
drawn from the fingertips, forearm, or palm. Alternative site testing should be
performed only during steady-state (when glucose is not changing rapidly).
The device includes speaking functions but is not intended for use in visually
impaired users. It is intended for self testing outside the body (in vitro
diagnostic use) by people with diabetes at home as an aid in monitoring the
effectiveness of diabetes control and should only be used by a single patient
and it should not be shared. It is not indicated for the diagnosis or screening
of diabetes or for neonatal use.

The BGM009 Blood Glucose Test Strips are to be used with the BGM009
Blood Glucose Meter to quantitatively measure glucose in capillary whole
blood taken from fingertips, palm, or forearm. |
| Comparison of
Technological
Characteristics: | The BGM009 meter has been modified relative to the predicate by minor
changes in external design and modifications of the test strip holder to
support the hematocrit compensation feature. Meter software has been
augmented to support the hematocrit compensation feature. The BGM009
test strip has been modified relative to the predicate by minor changes in
chemistry, alteration of electrode tracks to support 6 calibration codes, and
addition of electrode tracks to support the hematocrit compensation feature. |
| Non-Clinical
Testing: | Testing was conducted as follows: EMC and Electrical Safety, test strip
holder reliability testing, battery life verification, drop testing, disinfection
performance (robustness of meter to multiple cleanings and disinfections),
software verification and validation, and linearity testing with validation of
Lo/Hi detection, temperature and humidity testing, sample volume
verification, precision testing, interferences testing, altitude testing,
qualification of control solutions, hematocrit performance testing,
disinfection testing with recommended disinfectant wipes was done using an
animal virus test model. Results demonstrate substantial equivalence to the
predicate system. |
| Clinical Testing | An accuracy study was conducted with home users, including evaluation of
ease of use and ease of understanding of the user manual. Results
demonstrate substantial equivalence to the predicate system. |
| Conclusion: | Clinical and non-clinical testing demonstrated that the BGM009 system
performs in a substantially equivalent manner to that of the predicate. We |
| , conclude that the BGM009 system is substantially equivalent to the predicate ' | |
| ' system. | |

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510(k) Summary (Continued)

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