K Number
K160306
Device Name
Cloud Smart Thermometer
Date Cleared
2016-12-13

(313 days)

Product Code
Regulation Number
880.2910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Cloud Smart Thermometer is a battery-operated electronic device with intended use of measuring and monitoring human axillary temperature continuously via wireless signal transmission of the measuring result. Meanwhile, the device is reusable and is intended for axillary temperature monitoring for persons over two years old, and it is used for household and medical institutions.
Device Description
The Cloud Smart Thermometer (WT001-1) which is a combination device of thermometer and Bluetooth communication unit is to be worn in the axillary temperature continuously for household and medical institutions. To start the monitoring operation, switch the thermometer on and place it on the plaster (which is a waterproof medical dressing), and then paste the plaster in the user's axilla. The thermometer will make a Bluetooth connection between the thermometer and the receiver automatically (User should setup Bluetooth properly on receiver). Then the thermometer starts to measure the body temperature by means of testing the thermistor's resistance value and calculates the body temperature every four seconds continuously and sends the temperature data to the receiver through Bluetooth connection. The thermometer uses a CR2025 battery for operation. When the battery capacity is below 90% rated voltage, internal circuit will detect the low battery condition automatically and send "low battery" signal through Bluetooth communication unit to receiver, then the receiver will send out a warning. Meanwhile, the thermometer is capable of monitoring the axillary temperature continuously for 24 hours and it can also save measured data in the Cloud for remote real-time monitoring.
More Information

Not Found

No
The summary describes a standard electronic thermometer with Bluetooth communication and cloud storage. There is no mention of AI or ML algorithms for data analysis, prediction, or interpretation. The device simply measures and transmits temperature data.

No
The device is a thermometer, used for measuring and monitoring human axillary temperature, which is a diagnostic function, not a therapeutic one. It does not actively treat or alleviate a medical condition.

Yes

The definition of a diagnostic device includes devices that provide information by measuring physiological parameters. This device measures and monitors human axillary temperature, which is a physiological parameter, and the information garnered from this measurement helps in identifying a patient's medical condition.

No

The device description explicitly states it is a "combination device of thermometer and Bluetooth communication unit" and describes physical components like a thermistor, battery, and plastic shell, indicating it is a hardware device with integrated software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. These tests are performed outside the body (in vitro).
  • Device Function: The Cloud Smart Thermometer measures and monitors human axillary temperature directly from the body. It does not analyze samples taken from the body.

Therefore, based on the provided information, the Cloud Smart Thermometer is a medical device used for physiological monitoring, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Cloud Smart Thermometer is a battery-operated electronic device with intended use of measuring and monitoring human axillary temperature continuously via wireless signal transmission of the measuring result. Meanwhile, the device is reusable and is intended for axillary temperature monitoring for persons over two years old, and it is used for household and medical institutions.

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

FLL

Device Description

The Cloud Smart Thermometer (WT001-1) which is a combination device of thermometer and Bluetooth communication unit is to be worn in the axillary temperature continuously for household and medical institutions.

To start the monitoring operation, switch the thermometer on and place it on the plaster (which is a waterproof medical dressing), and then paste the plaster in the user's axilla. The thermometer will make a Bluetooth connection between the thermometer and the receiver automatically (User should setup Bluetooth properly on receiver). Then the thermometer starts to measure the body temperature by means of testing the thermistor's resistance value and calculates the body temperature every four seconds continuously and sends the temperature data to the receiver through Bluetooth connection.

The thermometer uses a CR2025 battery for operation. When the battery capacity is below 90% rated voltage, internal circuit will detect the low battery condition automatically and send "low battery" signal through Bluetooth communication unit to receiver, then the receiver will send out a warning. Meanwhile, the thermometer is capable of monitoring the axillary temperature continuously for 24 hours and it can also save measured data in the Cloud for remote real-time monitoring.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

axillary / armpit

Indicated Patient Age Range

persons over two years old

Intended User / Care Setting

household and medical institutions

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 tests were conducted to verify that the targeted device meet all design specifications in order to demonstrate that it is Substantially Equivalent to the predicate device. The test results demonstrate that the targeted device complies with the following standards:

  • IEC 60601-1Medical electrical equipment -Part 1: General requirements for basic safety and essential performance
  • IEC 60601-1-2 Medical electrical equipment -Part 1-2: General requirements for basic safety and essential performance -Collateral standard: electromagnetic compatibility
  • IEC 60601-1-11 Medical electrical equipment -Part 1-11: General requirements for basic safety and essential performance -Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment
  • ISO 80601-2-56 Medical Electrical Equipment -Part 2-56: Particular Requirements For Basic Safety And Essential Performance Of Clinical Thermometers For Body Temperature Measurement
  • ASTM E1112-00 (Reapproved 2011) Standard Specification for Electronic Thermometer for Intermittent Determination of Patient Temperature
  • CFR 47 FCC PART 15 Subpart C: 2014 section 15.247 under the operating frequency of 2400~2483.5MHz

Software verification and validation: Software documentation consistent with moderate level of concern is submitted in this 510(k). System validation testing presented in this 510(k) demonstrate that all software requirement specifications are met and all software hazards have been mitigated to acceptable risk levels. And Cybersecurity test is performed in accordance with "Content of Premarket Submission for Management of Cybersecurity in Medical Devices".

The body-contacting components of this device (plastic shell, temperature sensor, and medical plaster) were tested according to ISO 10993-1 for skin-contacting biocompatibility:

  • ISO 10993-5:2009/(R) 2014, Biological Evaluation Of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity.
  • ISO 10993-10:2010, Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization.

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.

K132761

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

§ 880.2910 Clinical electronic thermometer.

(a)
Identification. A clinical electronic thermometer is a device used to measure the body temperature of a patient by means of a transducer coupled with an electronic signal amplification, conditioning, and display unit. The transducer may be in a detachable probe with or without a disposable cover.(b)
Classification. Class II (performance standards). The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter, subject to the limitations in § 880.9 and the following conditions for exemption:(1) Device is not a clinical thermometer with telethermographic functions;
(2) Device is not a clinical thermometer with continuous temperature measurement functions; and
(3) Appropriate analysis and testing (such as that outlined in the currently FDA-recognized editions, as appropriate, of ISO 80601-2-56, “Medical electrical equipment—Part 2-56: Particular requirements for basic safety and essential performance of clinical thermometers for body temperature measurement,” or ASTM E1965, “Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature,” or ASTM E1112, “Standard Specification for Electronic Thermometer for Intermittent Determination of Patient Temperature,” or ASTM E1104, “Standard Specification for Clinical Thermometer Probe Covers and Sheaths”) must validate specifications and performance of the device.

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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 consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract image of an eagle or bird-like figure, composed of three stylized human profiles facing to the right.

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

December 13, 2016

Guangzhou Bosma Technology Co Ltd. Guoxing Dai Quality Manager 2nd Floor, Building A5, No.11 Kaiyuan Avenue, Science Park, Guangzhou Hi-tech Industrial Development Zone Guangzhou City, Guangdong Province, P.R China 510530

Re: K160306

Trade/Device Name: Cloud Smart Thermometer Regulation Number: 21 CFR 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: Class II Product Code: FLL Dated: November 3, 2016 Received: November 9, 2016

Dear Guoxing Dai:

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 Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

1

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), 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,

Michael J. Ryan -S

for Tina Kiang, Ph.D.

Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K160306

Device Name Cloud Smart Thermometer (WT001-1)

Indications for Use (Describe)

The Cloud Smart Thermometer is a battery-operated electronic device with intended use of measuring and monitoring human axillary temperature continuously via wireless signal transmission of the measuring result. Meanwhile, the device is reusable and is intended for axillary temperature monitoring for persons over two years old, and it is used for household and medical institutions.

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)
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510(k) Summary

This "510(k) Summary" of 510(k) safety and effectiveness information is submitted in accordance with requirements of SMDA 1990 and Title 21, CFR Section 807.92.

(1) Applicant information:

| Applicant: | GUANGZHOU BOSMA TECHNOLOGY CO LTD
2ndFloor, Building A5, No.11, Kaiyuan Avenue, Science Park,
Guangzhou Hi-tech Industrial Development Zone, Guangzhou City,
Guangdong Province, P.R.China |
|-------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact person: | XingguoDai |
| Phone number: | +86 1372 603 7760 |
| Fax number: | +86 020 3220 3099 |
| Email: | daixg@bosma.com.cn |
| Application date: | November 9, 2016 |

(2) Proprietary name of the device

Trade name/Model:Cloud Smart Thermometer/WT001-1
Regulation number:21 CFR 880.2910, Clinical electronic thermometer
Product code:FLL
Review panel:General Hospital
Regulation class:Class II

(3) Predicate device:

K132761 Wireless Thermometer, cleared Jul.8, 2014

(4) Description of device:

The Cloud Smart Thermometer (WT001-1) which is a combination device of thermometer and Bluetooth communication unit is to be worn in the axillary temperature continuously for household and medical institutions.

To start the monitoring operation, switch the thermometer on and place it on the plaster (which is a waterproof medical dressing), and then paste the plaster in the user's axilla. The thermometer will make a Bluetooth connection between the thermometer and the receiver automatically (User should setup Bluetooth properly on receiver). Then the thermometer starts to measure the body temperature by means of testing the thermistor's resistance value and calculates the body temperature every four seconds continuously and sends the temperature data to the receiver through Bluetooth connection.

The thermometer uses a CR2025 battery for operation. When the battery capacity is below 90% rated voltage, internal circuit will detect the low battery condition automatically and send

4

"low battery" signal through Bluetooth communication unit to receiver, then the receiver will send out a warning. Meanwhile, the thermometer is capable of monitoring the axillary temperature continuously for 24 hours and it can also save measured data in the Cloud for remote real-time monitoring.

(5) Indications for Use:

The Cloud Smart Thermometer is a battery-operated electronic device with intended use of measuring and monitoring human axillary temperature continuously via wireless signal transmission of the measuring result. Meanwhile, the device is reusable and is intended for axillary temperature monitoring for persons over two years old, and it is used for household and medical institutions.

(6) Technological characteristics and substantial equivalence:

The following table compares the device to the predicate device(Wireless Thermometer, K132761, cleared Jul.08, 2014) with respect to intended use, technological characteristics, principles of operation, etc.

DeviceTargeted devicePredicate device 1year
Trade nameCloud Smart ThermometerWireless ThermometerMeasuring range25°C ~45°C25°C~45°C
510(k) numberK160306K132761Accuracy±0.1°C (at 36.0~40.0°C);
±0.2°C (at other temperature
range);±0.05°C (35°C~38.5°C)
±0.1°C (25°C~34.99°C) and
(38.51°C~45°C)
Regulation
number21CFR 880.291021CFR 880.2910Repeatability error≤0.2°CN/A
Regulation
descriptionClinical electronic thermometerClinical electronic thermometerTemperature unit°C or °F (settable in App)°C or °F
Classification
nameThermometer, Electronic, ClinicalThermometer, Electronic, ClinicalDisplay unit
specificationiOS or Android device displayiOS device Display
Product codeFLLFLLSignal
transmissionWireless 2.4G Bluetooth 4.0Wireless 2.4G Bluetooth BLE
Device classIIIIReceiver (mobile
terminal)iOS7.0 or above smartphone or
tablet:
Android 4.3 or above smartphone,
tablet or televisioniPhone 4S, iPhone 5, iPad
(3rd generation), iPad (4th
generation), iPad mini, iPod touch
(5th generation)
Working voltageDC3VDC3VValid transmission
distanceUp to 15 meters (under barrier-free
environment)Up to 5 meters
Battery
specificationMAXELL CR2025 Button
battery(3.0V, 170mAh)The button battery 3.0V, 210mAhResponse time10 minutes at least required for the
device to obtain a steady state
reading8 minutes at least required for the
device to obtain a steady state
reading
Battery life--Continuous measurement:
120hours Note: you will get a low
battery indication when the battery
capacity is below 90% rated voltage
--Standby time: no less than half a120 days at 8 hours per day
Note: frequent synchronization of
data may deplete power more
quicklyMeasuring
frequency/timeEvery 4 secondsEvery 4 seconds
Storage time
(Bluetooth
sending
frequency)Three modes:
--Accuracy mode, data saved every
4 seconds
--Power mode, data saved every 60
seconds, a default mode
--Ultra Power Saving mode, data
saved every 120 secondsN/A
Operating
temperature0°C ~+40°C5°C~40°C
Operating
humidity15%~85% (non-condensing)15~85%

Table 1 Comparison

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Indications for use/Intended useThe Cloud Smart Thermometer is a battery-operated electronic device with intended use of measuring and monitoring human axillary temperature continuously via wireless signal transmission of the measuring result. Meanwhile, the device is reusable and is intended for axillary temperature monitoring for persons over two years old, and it is used for household and medical institutions.The Wireless Thermometer is a battery-operated electronic device with intended use of measuring and monitoring human armpit temperature continuously via wireless signal transmission of the measuring result. This system is reusable and intended for armpit temperature monitoring for persons over two years old.
Location for useOTCOTC
Thermometer typeAxillaArmpit
Shelf life3 years5 years
Skin-contacting componentsPlastic shell, temperature sensor, medical plastersPlastic shell, temperature probe, medical patches
Materials of skin-contacting componentsPlastic shell: ABS
Temperature Sensor: Stainless steel 304
Medical plaster: medical waterproof dressingPlastic shell: ABS
Temperature probe: N/A
Medical patches: medical dressing
MaterialsISO 10993-1:2009
ISO 10993-5:2009/(R) 2014GB/T16886.1-2011
GB/T16886.5-2003

Discussion of feature comparison:

The Cloud Smart Thermometer, Model WT001-1 has similar indications for use and technological characteristics as the predicate device:

  • A WT001-1 has the same intended use as the predicate device: to measure axillary temperature.
  • A The same and/or similar technologies and parameters are used in WT001-1 thermometers as the predicate device.
  • A The identified differences in technological characteristics do not raise new or different questions of safety and effectiveness.
  • A Although some specifications are slightly different from the predicate device, the thermometer quality has been verified and validated as a part of performance testing and safety /EMC testing and the results are included as a part of this submission. Performance information and evidence of compliance to recognized standards demonstrate the device is

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substantially equivalent to the predicate device.

  • A The targeted device may connect to iOS device and Android device through wireless method, but the predicate device can only connect to iOS device. Risk analysis and associated verification (include cybersecurity test, FCC test and wireless verification) have been performed that the wireless feature is acceptable.
  • Both devices use similar materials for construction and have direct skin surface contact.

Based upon the same intended use, similar materials for device construction, product specification and operation, as well as performance testing, it could be concluded that the Cloud Smart Thermometer, Model WT001-1 device is substantially equivalent to the predicate device.

(7) Non-clinical studies and tests performed:

Non-clinical tests were conducted to verify that the targeted device meet all design specifications in order to demonstrate that it is Substantially Equivalent to the predicate device. The test results demonstrate that the targeted device complies with the following standards:

  • A IEC 60601-1Medical electrical equipment –Part 1: General requirements for basic safety and essential performance
  • IEC 60601-1-2 Medical electrical equipment -Part 1-2: General requirements for basic safety and essential performance -Collateral standard: electromagnetic compatibility

  • A IEC 60601-1-11 Medical electrical equipment -Part 1-11: General requirements for basic safety and essential performance -Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment
  • A ISO 80601-2-56 Medical Electrical Equipment -Part 2-56: Particular Requirements For Basic Safety And Essential Performance Of Clinical Thermometers For Body Temperature Measurement
  • A ASTM E1112-00 (Reapproved 2011) Standard Specification for Electronic Thermometer for Intermittent Determination of Patient Temperature
  • CFR 47 FCC PART 15 Subpart C: 2014 section 15.247 under the operating frequency of 2400~2483.5MHz

Software verification and validation: Software documentation consistent with moderate level of concern is submitted in this 510(k). System validation testing presented in this 510(k) demonstrate that all software requirement specifications are met and all software hazards have been mitigated to acceptable risk levels. And Cybersecurity test is performed in accordance with "Content of Premarket Submission for Management of Cybersecurity in Medical Devices".

The body-contacting components of this device (plastic shell, temperature sensor, and medical plaster) were tested according to ISO 10993-1 for skin-contacting biocompatibility:

  • A ISO 10993-5:2009/(R) 2014, Biological Evaluation Of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity.
  • ISO 10993-10:2010, Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization.

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(8) Conclusion

Based on the comparison and analysis above, the proposed devices are determined to be Substantially Equivalent (SE) to the predicate devices.