K Number
K151545
Device Name
CardioChek Plus Test System, CardioChek Home Test System, CardioChek PA Test System, CardioChek PA Home Test System
Date Cleared
2016-12-22

(562 days)

Product Code
Regulation Number
862.1175
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CardioChek Home Test System (consisting of the CardioChek Home analyzer and CardioChek Home Lipid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in capillary whole blood from the fingertip and is intended to be used by a single person and should not be shared. This system is for in vitro diagnostic use only. - o Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders. - HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes ● mellitus), atherosclerosis, and various liver and renal diseases. - Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders. A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek Home Analyzer. The CardioChek Plus Test System (consisting of the CardioChek Plus analyzer and PTS Panels Lipid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in venous whole blood and capillary whole blood from the fingertip and is intended for multiple patient use in professional healthcare settings. This system should only be used with single-use, auto-disabling lancing devices. This system is for in vitro diagnostic use only. - o Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders. - HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes ● mellitus), atherosclerosis, and various liver and renal diseases. - Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, ● nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders. A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek Plus Analyzer. The CardioChek PA Test System (consisting of the CardioChek PA analyzer and PTS Panels Lipid Panel test strips) is for the quantitative determination of total cholesterol, HDL (high density lipoprotein) cholesterol and triglycerides in venous whole blood and capillary whole blood from the fingertip and is intended for multiple patient use in professional healthcare settings. This system should only be used with single-use, auto-disabling lancing devices. This system is for in vitro diagnostic use only. - Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol . in the blood and lipid and lipoprotein metabolism disorders. - HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases. - Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders. A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek PA Analyzer. The CardioChek PA Home Test System (consisting of the CardioChek PA Home analyzer and CardioChek Home Livid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in capillary whole blood from the fingertip and is intended to be used by a single person and should not be shared. This system is for in vitro diagnostic use only. - Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol o in the blood and lipid and lipoprotein metabolism disorders. - HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases. - Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders. A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek PA Home Analyzer.
Device Description
The PTS Panels Lipid Panel test strips and the CardioChek Home Lipid Panel test strips are used with the CardioChek Plus, CardioChek PA, CardioChek Home and CardioChek PA Home analyzers to measure total cholesterol and triglycerides in whole blood. The test strips utilize enzymatic methods on a dry strip that is read by reflectance photometry. These test strips are for in vitro diagnostic use only.
More Information

Not Found

No
The document describes a device that uses enzymatic methods and reflectance photometry to measure lipid levels and performs simple calculations (Chol/HDL ratio, estimated LDL). There is no mention of AI or ML techniques being used for analysis, interpretation, or calculation.

No
This device is for in vitro diagnostic use, meaning it provides quantitative measurements of cholesterol, HDL, and triglycerides to aid in the diagnosis and treatment of various disorders, rather than actively treating them.

Yes

The "Intended Use / Indications for Use" section explicitly states that the systems are for "in vitro diagnostic use only" and that their measurements are "used in the diagnosis and treatment of disorders."

No

The device description explicitly states that the system consists of analyzers (hardware) and test strips (consumables), which are used to perform quantitative measurements. This is not a software-only device.

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

Here's why:

  • Explicit Statement: The Intended Use/Indications for Use section for all listed systems (CardioChek Home, CardioChek Plus, CardioChek PA, and CardioChek PA Home) explicitly states: "This system is for in vitro diagnostic use only."
  • Device Description: The Device Description section also states that the test strips are "for in vitro diagnostic use only."
  • Intended Use: The intended use is to quantitatively determine analytes (total cholesterol, HDL cholesterol, triglycerides) in biological samples (capillary whole blood, venous whole blood) for the purpose of diagnosis and treatment of various disorders. This aligns directly with the definition of an in vitro diagnostic device.
  • Performance Studies: The document describes performance studies (accuracy and precision) conducted using biological samples, which is typical for IVD devices to demonstrate their analytical performance.

Therefore, based on the provided text, the CardioChek systems described are clearly intended and labeled as In Vitro Diagnostic devices.

N/A

Intended Use / Indications for Use

The CardioChek Home Test System (consisting of the CardioChek Home analyzer and CardioChek Home Lipid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in capillary whole blood from the fingertip and is intended to be used by a single person and should not be shared. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.
    A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek Home Analyzer.

The CardioChek Plus Test System (consisting of the CardioChek Plus analyzer and PTS Panels Lipid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in venous whole blood and capillary whole blood from the fingertip and is intended for multiple patient use in professional healthcare settings. This system should only be used with single-use, auto-disabling lancing devices. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.
    A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek Plus Analyzer.

The CardioChek PA Test System (consisting of the CardioChek PA analyzer and PTS Panels Lipid Panel test strips) is for the quantitative determination of total cholesterol, HDL (high density lipoprotein) cholesterol and triglycerides in venous whole blood and capillary whole blood from the fingertip and is intended for multiple patient use in professional healthcare settings. This system should only be used with single-use, auto-disabling lancing devices. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol . in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.
    A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek PA Analyzer.

The CardioChek PA Home Test System (consisting of the CardioChek PA Home analyzer and CardioChek Home Livid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in capillary whole blood from the fingertip and is intended to be used by a single person and should not be shared. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol o in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.
    A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek PA Home Analyzer.

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

CHH, LBR, JGY

Device Description

The PTS Panels Lipid Panel test strips and the CardioChek Home Lipid Panel test strips are used with the CardioChek Plus, CardioChek PA, CardioChek Home and CardioChek PA Home analyzers to measure total cholesterol and triglycerides in whole blood. The test strips utilize enzymatic methods on a dry strip that is read by reflectance photometry. These test strips are for in vitro diagnostic use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

fingertip (for capillary whole blood), venous (for venous whole blood)

Indicated Patient Age Range

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Intended User / Care Setting

CardioChek Home Test System and CardioChek PA Home Test System: single person, home use (Over-The-Counter Use)
CardioChek Plus Test System and CardioChek PA Test System: multiple patient use in professional healthcare settings (Prescription Use)

Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

An accuracy study compared whole blood HDL cholesterol on PTS Panels/CardioChek Home Lipid Panel test strips on the CardioChek PA/CardioChek PA Home and the CardioChek Plus/CardioChek Home analyzers to the Roche Cobas Integra 400 plus HDL Cholesterol (reference).
Sample size: n = 80 samples for each analyzer (CardioChek Plus Home, CardioChek Plus, CardioChek PA, CardioChek PA Home).
Range of samples tested: 21 to 112 mg/dL HDL cholesterol.

A precision study for HDL Cholesterol (Multiple operators, analyzers, time periods) used a lot of Lipid Panel test strips with an extended HDL dynamic range. Three operators tested three levels of whole blood samples on five analyzers (CardioChek PA/CardioChek PA Home and CardioChek Plus/CardioChek Home) for HDL cholesterol over three time periods.
Sample size: 80 observations for Level 1, Level 2, and Level 3 for CardioChek PA HDL and CardioChek PA Home HDL. 80 observations for Level 1 and Level 2, and 78 observations for Level 3 for CardioChek Plus HDL and CardioChek Home HDL.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Accuracy Study:
Study Type: Accuracy
Sample Size: n = 80 samples for each of CardioChek Plus Home, CardioChek Plus, CardioChek PA, CardioChek PA Home.
Key Results:

  • CardioChek Plus Home: y = 0.99x + 0.55, r = 0.98
  • CardioChek Plus: y = 0.99x + 0.55, r = 0.98
  • CardioChek PA: y = 0.93x + 0.98, r = 0.98
  • CardioChek PA Home: y = 0.93x + 0.98, r = 0.98
    Range of samples tested: 21 to 112 mg/dL HDL cholesterol.

Precision Study:
Study Type: Precision (Multiple operators, analyzers, time periods)
Sample Size:

  • CardioChek PA HDL & CardioChek PA Home HDL: 80 observations for each of Level 1, Level 2, Level 3.
  • CardioChek Plus HDL & CardioChek Home HDL: 80 observations for Level 1 and Level 2, 78 observations for Level 3.
    Key Results (Mean (mg/dL), Std. Deviation (mg/dL), Coefficient of Variation (%)):
  • CardioChek PA HDL: Level 1 (38.3, 1.65, 4.3), Level 2 (62.4, 2.26, 3.6), Level 3 (106.0, 4.2, 4.0)
  • CardioChek PA Home HDL: Level 1 (38.3, 1.65, 4.3), Level 2 (62.4, 2.26, 3.6), Level 3 (106.0, 4.2, 4.0)
  • CardioChek Plus HDL: Level 1 (39.5, 1.63, 4.1), Level 2 (63.3, 2.66, 4.2), Level 3 (108.3, 5.24, 4.8)
  • CardioChek Home HDL: Level 1 (39.5, 1.63, 4.1), Level 2 (63.3, 2.66, 4.2), Level 3 (108.3, 5.24, 4.8)

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

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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.

K140068, K023558

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

§ 862.1175 Cholesterol (total) test system.

(a)
Identification. A cholesterol (total) test system is a device intended to measure cholesterol in plasma and serum. Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 862.9.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of three human profiles facing right, stacked on top of each other, with a stylized ribbon-like shape flowing from the bottom profile.

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

December 22, 2016

POLYMER TECHNOLOGY SYSTEMS, INC. MARGO ENRIGHT DIRECTOR OF REGULATORY AND CLINICAL AFFAIRS 7736 ZIONSVILLE ROAD INDIANAPOLIS IN 46268

Re: K151545

Trade/Device Name: Cardiochek Plus Test System, Cardiochek Home Test System, Cardiochek PA Test System, Cardiochek PA Home Test System Regulation Number: 21 CFR 862.1175 Regulation Name: Cholesterol (total) test system Regulatory Class: I, meets the limitation of exemption 21 CFR 862.9(c)(4) Product Code: CHH, LBR, JGY Dated: July 27, 2016 Received: July 29, 2016

Dear Ms. Enright:

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.

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,

Kellie B. Kelm -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

2

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

510(k) Number (if known) K151545

Device Name CardioChek Home Test System

Indications for Use (Describe)

The CardioChek Home Test System (consisting of the CardioChek Home analyzer and CardioChek Home Lipid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in capillary whole blood from the fingertip and is intended to be used by a single person and should not be shared. This system is for in vitro diagnostic use only.

  • o Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes ● mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.

A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek Home Analyzer.

Type of Use (Select one or both, as applicable) __Prescription Use (Part 21 CFR 801 Subpart D) X Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

3

510(k) Number (if known) K151545

Device Name CardioChek Plus Test System

Indications for Use (Describe)

The CardioChek Plus Test System (consisting of the CardioChek Plus analyzer and PTS Panels Lipid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in venous whole blood and capillary whole blood from the fingertip and is intended for multiple patient use in professional healthcare settings. This system should only be used with single-use, auto-disabling lancing devices. This system is for in vitro diagnostic use only.

  • o Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes ● mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, ● nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.

A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek Plus Analyzer.

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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

4

4

510(k) Number (if known) K151545

Device Name CardioChek PA Test System

Indications for Use (Describe)

The CardioChek PA Test System (consisting of the CardioChek PA analyzer and PTS Panels Lipid Panel test strips) is for the quantitative determination of total cholesterol, HDL (high density lipoprotein) cholesterol and triglycerides in venous whole blood and capillary whole blood from the fingertip and is intended for multiple patient use in professional healthcare settings. This system should only be used with single-use, auto-disabling lancing devices. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol . in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.

A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek PA Analyzer.

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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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

510(k) Number (if known) K151545

Device Name CardioChek PA Home Test System

Indications for Use (Describe)

The CardioChek PA Home Test System (consisting of the CardioChek PA Home analyzer and CardioChek Home Livid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in capillary whole blood from the fingertip and is intended to be used by a single person and should not be shared. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol o in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.

A Chol/HDL ration and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek PA Home Analyzer.

Type of Use (Select one or both, as applicable) __Prescription Use (Part 21 CFR 801 Subpart D) X Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

6

6

SECTION 5: 510(k) SUMMARY- K151545

This summary of safety and effectiveness information is submitted in compliance with 21CFR 807.92.

December 5, 2016

  1. Submitter Information/Facility Address:

Polymer Technology Systems, Inc. 7736 Zionsville Road Indianapolis, IN 46268

  1. Contact Person: Margo Enright,RAC Phone Number: 317-870-5610 x1012 Email: menright@ptsdiagnostics.com

3. Trade Names:

CardioChek Plus Test System

This includes:

  • CardioChek Plus analyzer
  • · PTS Panels Lipid Panel test strips

CardioChek Home Test System

This includes:

  • CardioChek Home analyzer
  • · CardioChek Home Lipid Panel test strips

CardioChek PA Test System

This includes:

  • · CardioChek PA analyzer
  • PTS Panels Lipid Panel test strips

CardioChek PA Home Test System

This includes:

  • · CardioChek PA Home analyzer
  • · CardioChek Home Lipid Panel test strips

4. Regulatory Information

| Product

CodeClassificationRegulation SectionPanel
CHHClass I, meets the limitation of
exemption 21 CFR 862.9(c)(4)21 CFR 862.1175 Cholesterol
(Total) test systemChemistry (75)
LBRClass I, meets the limitation of
exemption 21 CFR 862.9(c)(4)21 CFR 862.1475 Lipoprotein
test systemChemistry (75)
JGYClass I, meets the limitation of
exemption 21 CFR 862.9(c)(4)21 CFR 862.1705 Triglyceride
test systemChemistry (75)

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5. Device Description:

The PTS Panels Lipid Panel test strips and the CardioChek Home Lipid Panel test strips are used with the CardioChek Plus, CardioChek PA, CardioChek Home and CardioChek PA Home analyzers to measure total cholesterol and triglycerides in whole blood. The test strips utilize enzymatic methods on a dry strip that is read by reflectance photometry. These test strips are for in vitro diagnostic use only.

6. Intended Use:

The CardioChek Plus Test System (consisting of the CardioChek Plus analyzer and PTS Panels Lipid Panel test strips) is for the quantitative determination of total cholesterol, HDL (high density lipoprotein) cholesterol and triglycerides in venous whole blood and capillary whole blood from the fingertip and is intended for multiple patient use in professional healthcare settings. This system should only be used with single-use, auto-disabling lancing devices. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders . involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
  • . HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • . Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.

A Chol/HDL ratio and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek Plus Analyzer.

The CardioChek Home Test System (consisting of the CardioChek Home analyzer and CardioChek Home Lipid Panel test strips) is for the quantitative determination of total cholesterol, HDL (high density lipoprotein) cholesterol and triglycerides in capillary whole blood from the fingertip and is intended to be used by a single person and should not be shared. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders . involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.

A Chol/HDL ratio and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek Home Analyzer.

8

The CardioChek PA Test System (consisting of the CardioChek PA analyzer and PTS Panels Lipid Panel test strips) is for the quantitative determination of total cholesterol. HDL (high density lipoprotein) cholesterol and triglycerides in venous whole blood and capillary whole blood from the fingertip and is intended for multiple patient use in professional healthcare settings. This system should only be used with single-use, auto- disabling lancing devices. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid ● disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • . Triglycerides measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.

A Chol/HDL ratio and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek PA Analyzer.

The CardioChek PA Home Test System (consisting of the CardioChek PA Home analyzer and CardioChek Home Lipid Panel test strips) is for the quantitative determination of total cholesterol, HDL (high density lipoprotein) cholesterol and triglycerides in capillary whole blood from the fingertip and is intended to be used by a single person and should not be shared. This system is for in vitro diagnostic use only.

  • Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
  • HDL (lipoprotein) measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.
  • Triglycerides measurements are used in the diagnosis and treatment of patients with ● diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism or various endocrine disorders.

A Chol/HDL ratio and estimated values for LDL (low density lipoprotein) cholesterol are calculated by the CardioChek PA Home Analyzer.

7. Reason for Traditional 510(k):

Change in the measuring range (dynamic range) for the HDL cholesterol analyte of the Lipid Panel test strips to 20-120 mg/dL (0.52-3.11 mmol/L).

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8. STATEMENT OF SUBSTANTIAL EQUIVALENCE:

The Lipid Panel test strips will be marketed as PTS Panels Lipid Panel test strips and CardioChek Home Lipid Panel test strips. They are substantially equivalent to the currently marketed Lipid Panel test strips (predicate).

9. Predicate Device Information:

Predicate

Name: CardioChek Plus Test System and CardioChek Home Test System Device Company: Polymer Technology Systems, Inc. (PTS) 510(k) Number: K140068

Name: CardioChek Test System Device Company: Polymer Technology Systems, Inc. (PTS) 510(k) Number: K023558

10. Similarities and Differences (Lipid Panel current and Lipid Panelnew):

Similarities

  • The test strips are the same test strips currently marketed. ●
  • . The test strips are intended for both prescription and OTC use (professional and home use).
  • Both test strips require a lot specific memory chip for result calculation, which are ● included in the same package with the test strips
  • The measuring range for the total cholesterol is 100-400 mg/dL ●
  • . The measuring range for the triglycerides is 50-500 mg/dL

Difference

The only difference is in the measuring (dynamic) range for the HDL cholesterol. The HDL cholesterol measuring range is changed to 20-120 mg/dL HDL cholesterol. This is accomplished by programming the lot specific memory chip with calibration parameters for the modified range.

11. Summary of Performance Testing:

Accuracy

Results of an accuracy study comparing whole blood HDL cholesterol on PTS Panels/CardioChek Home Lipid Panel test strips on the CardioChek PA/CardioChek PA Home and the CardioChek Plus/CardioChek Home analyzers to the Roche Cobas Integra 400 plus HDL Cholesterol (reference) are summarized below.

Lipid Panel HDL Cholesterol vs. Reference by analyzer

CardioChek Plus HomeCardioChek PlusCardioChek PACardioChek PA Home
n = 80 samplesn = 80 samplesn = 80 samplesn = 80 samples
y = 0.99x+0.55y = 0.99x+0.55y = 0.93x+0.98y = 0.93x+0.98
r = 0.98r = 0.98r = 0.98r = 0.98

Range of samples tested: 21 to 112 mg/dL HDL cholesterol

10

Precision

HDL Cholesterol (Multiple operators, analyzers, time periods): Using a lot of Lipid Panel test strips with an extended HDL dynamic range, three operators tested three levels of whole blood samples on five analyzers (CardioChek PA/CardioChek PA Home and CardioChek Plus/ CardioChek Home) for HDL cholesterol over three time periods with the results that follow.

CardioChek PA HDLLevel 1Level 2Level 3
No. of Observations (n)808080
Mean (mg/dL)38.362.4106.0
Std. Deviation (mg/dL)1.652.264.2
Coefficient of Variation (%)4.33.64.0
CardioChek PA Home HDLLevel 1Level 2Level 3
No. of Observations (n)808080
Mean (mg/dL)38.362.4106.0
Std. Deviation (mg/dL)1.652.264.2
Coefficient of Variation (%)4.33.64.0
CardioChek Plus HDLLevel 1Level 2Level 3
No. of Observations (n)808078
Mean (mg/dL)39.563.3108.3
Std. Deviation (mg/dL)1.632.665.24
Coefficient of Variation (%)4.14.24.8
CardioChek Home HDLLevel 1Level 2Level 3
No. of Observations (n)808078
Mean (mg/dL)39.563.3108.3
Std. Deviation (mg/dL)1.632.665.24
Coefficient of Variation (%)4.14.24.8

12. Conclusion:

The modified measuring range claim for the PTS Panels Lipid Panel test strips/CardioChek Home Lipid Panel test strips for use on the CardioChek Home Test System, CardioChek Plus Test System, CardioChek PA Test System and CardioChek PA Home Test System provides a product that is as safe and effective as the predicate device (CardioChek Plus Test System and CardioChek Home Test System cleared under K140068 and CardioChek Test System cleared under K023358).