K Number
K162336
Device Name
Contour Next EZ Blood Glucose Monitoring System
Date Cleared
2017-01-12

(143 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CONTOUR®NEXT EZ blood glucose monitoring system is an over the counter (OTC) device utilized for self-testing by persons with diabetes at home for the quantitative measurement of glucose in whole blood, is for single-patient use only, and should not be shared. The system is intended for self testing outside the body (in vitro diagnostic use) and is to monitor the effectiveness of diabetes control. The CONTOUR® NEXT EZ blood glucose monitoring system is indicated for use with fresh fingertip capillary whole blood samples. The CONTOUR® NEXT EZ blood glucose monitoring system is not intended for the diagnosis of or screening for diabetes mellitus and is not intended for use on neonates. The CONTOUR® NEXT test strips are for use with the CONTOUR® NEXT EZ blood glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.
Device Description
The Contour Next EZ Blood Glucose Meter consists of a small handheld blood glucose meter that utilizes dry reagent test strips for the measurement of glucose in capillary whole blood by persons with diabetes. Liquid control solution is used to check the performance of the system. The meter, together with the test strips and control solutions, is referred to as the Contour Next EZ Blood Glucose Monitoring System. The chemical principle utilized for both the predicate and modified devices is based on measurement of electrical current caused by the reaction of glucose in the blood with chemicals on the reagent strip. The blood sample is drawn into the tip of the reagent strip through capillary action. Glucose in the sample reacts with FAD glucose dehydrogenase (FAD-GDH) enzyme on the reagent strip. The electrons generated by this reaction are shuttled to an electrode by a mediator chemical, producing a current that is proportional to the glucose in the sample. After a fixed reaction time, the glucose concentration in the sample is calculated and displayed.
More Information

Not Found

No
The description focuses on the electrochemical measurement of glucose and does not mention any AI or ML components.

No
The device is an in vitro diagnostic (IVD) device used for monitoring glucose levels, not for treating a disease or condition. Its intended use is to help patients monitor the effectiveness of diabetes control, not to provide therapy.

No

Explanation: The "Intended Use / Indications for Use" section explicitly states, "The CONTOUR® NEXT EZ blood glucose monitoring system is not intended for the diagnosis of or screening for diabetes mellitus."

No

The device description explicitly states it consists of a "small handheld blood glucose meter" and utilizes "dry reagent test strips," which are hardware components.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "The system is intended for self testing outside the body (in vitro diagnostic use)..."
  • Measurement of Glucose in Whole Blood: The device measures glucose in whole blood, which is a biological sample taken from the body.
  • Used for Monitoring Effectiveness of Diabetes Control: This indicates the device is used to assess a physiological state (diabetes control) by analyzing a biological sample.
  • Chemical Principle: The "Device Description" details a chemical reaction occurring on the test strip with the blood sample to determine glucose concentration. This is characteristic of in vitro diagnostic tests.

N/A

Intended Use / Indications for Use

The CONTOUR®NEXT EZ blood glucose monitoring system is an over the counter (OTC) device utilized for self-testing by persons with diabetes at home for the quantitative measurement of glucose in whole blood, is for single-patient use only, and should not be shared.

The system is intended for self testing outside the body (in vitro diagnostic use) and is to monitor the effectiveness of diabetes control. The CONTOUR® NEXT EZ blood glucose monitoring system is indicated for use with fresh fingertip capillary whole blood samples.

The CONTOUR® NEXT EZ blood glucose monitoring system is not intended for the diagnosis of or screening for diabetes mellitus and is not intended for use on neonates.

The CONTOUR® NEXT test strips are for use with the CONTOUR® NEXT EZ blood glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.

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

NBW, LFR

Device Description

The Contour Next EZ Blood Glucose Meter consists of a small handheld blood glucose meter that utilizes dry reagent test strips for the measurement of glucose in capillary whole blood by persons with diabetes. Liquid control solution is used to check the performance of the system. The meter, together with the test strips and control solutions, is referred to as the Contour Next EZ Blood Glucose Monitoring System. The chemical principle utilized for both the predicate and modified devices is based on measurement of electrical current caused by the reaction of glucose in the blood with chemicals on the reagent strip. The blood sample is drawn into the tip of the reagent strip through capillary action. Glucose in the sample reacts with FAD glucose dehydrogenase (FAD-GDH) enzyme on the reagent strip. The electrons generated by this reaction are shuttled to an electrode by a mediator chemical, producing a current that is proportional to the glucose in the sample. After a fixed reaction time, the glucose concentration in the sample is calculated and displayed.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingertip

Indicated Patient Age Range

The CONTOUR® NEXT EZ blood glucose monitoring system is not intended for use on neonates.

Intended User / Care Setting

self-testing by persons 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)

Bench testing was conducted to ensure that the error checks acted as intended and gave error messages for:

  • Test strips that had been exposed to a reducing agent
  • Un-mixed control test solution
  • Samples that had been disturbed during the test countdown
    Equivalency testing was conducted to ensure the performance of the modified and predicate meters was not statistically different.
    Software verification testing was conducted to ensure that no good results were classified as errors as a result of the modifications.
    Control testing was conducted to ensure that adequately mixed control solution did not generate error codes.

Conclusion: The Contour Next EZ Blood Glucose Monitoring System is substantially equivalent in its intended use, performance, safety and effectiveness to the predicate Contour Next EZ Blood Glucose Monitoring System (K130265) based on the performance of the modified Contour Next EZ Blood Glucose Monitoring System.

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.

K130265

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

ASCENSIA DIABETES CARE US INC. JENNIFER GREGORY PRINCIPAL REGULATORY AFFAIRS SPECIALIST 430 SOUTH BEIGER STREET MISHAWAKA IN 46544

January 12, 2017

Re: K162336

Trade/Device Name: Contour Next EZ Blood Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: II Product Code: NBW, LFR Dated: August 19, 2016 Received: August 22, 2016

Dear Jennifer Gregory:

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/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.

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

2

Indications for Use

510(k) Number (if known) K162336

Device Name

Contour Next EZ Blood Glucose Monitoring System

Indications for Use (Describe)

The CONTOUR®NEXT EZ blood glucose monitoring system is an over the counter (OTC) device utilized for self-testing by persons with diabetes at home for the quantitative measurement of glucose in whole blood, is for single-patient use only, and should not be shared.

The system is intended for self testing outside the body (in vitro diagnostic use) and is to monitor the effectiveness of diabetes control. The CONTOUR® NEXT EZ blood glucose monitoring system is indicated for use with fresh fingertip capillary whole blood samples.

The CONTOUR® NEXT EZ blood glucose monitoring system is not intended for the diagnosis of or screening for diabetes mellitus and is not intended for use on neonates.

The CONTOUR® NEXT test strips are for use with the CONTOUR® NEXT EZ blood glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.

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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Image /page/3/Picture/0 description: The image is a logo for Ascensia Diabetes Care. The logo features a purple triangle shape next to a blue teardrop shape. Below the shapes, the word "ASCENSIA" is written in a sans-serif font, and below that, the words "Diabetes Care" are written in a smaller font.

510(k) Summary

Date prepared: January 4, 2017

According to the requirements of 21 CFR 807.92, the following information is being submitted in sufficient detail to provide an understanding of the basis for a determination of substantial equivalence.

| 1) Submitter | Jennifer Gregory
Regulatory Affairs Manager
Ascensia Diabetes Care US Inc.
430 South Beiger Street
Mishawaka, IN 46544
Telephone: (574) 256-3447
Fax: (574) 256-3519 |
|---------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2) Device name: | Trade name: Contour® Next EZ Blood Glucose Monitoring System
K162336
Common name: Blood Glucose Test System
Classification: Class II
Classification name: Blood Glucose Test System, Over-the-Counter,
75 NBW and Glucose Dehydrogenase, 75 LFR (21 CFR § 862.1345) |
| 3) Predicate device: | Contour Next EZ Blood Glucose Monitoring System (K130265)) |
| 4) Device
description: | The Contour Next EZ Blood Glucose Meter consists of a small
handheld blood glucose meter that utilizes dry reagent test strips for
the measurement of glucose in capillary whole blood by persons with
diabetes. Liquid control solution is used to check the performance
of the system. The meter, together with the test strips and control
solutions, is referred to as the Contour Next EZ Blood Glucose
Monitoring System.
The chemical principle utilized for both the predicate and modified
devices is based on measurement of electrical current caused by the
reaction of glucose in the blood with chemicals on the reagent strip.
The blood sample is drawn into the tip of the reagent strip through
capillary action. Glucose in the sample reacts with FAD glucose
dehydrogenase (FAD-GDH) enzyme on the reagent strip. The
electrons generated by this reaction are shuttled to an electrode by
a mediator chemical, producing a current that is proportional to the
glucose in the sample. After a fixed reaction time, the glucose
concentration in the sample is calculated and displayed. |
| 5) Intended Use: | The CONTOUR®NEXT EZ blood glucose monitoring system is an over
the counter (OTC) device utilized for self-testing by persons with
diabetes at home for the quantitative measurement of glucose in
whole blood, is for single-patient use only, and should not be shared.
The system is intended for self-testing outside the body (in vitro |

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Image /page/4/Picture/0 description: The image is a logo for Ascensia Diabetes Care. The logo features a purple triangle with a light blue teardrop shape attached to the right side. Below the shape, the word "ASCENSIA" is written in a bold, sans-serif font, and below that, the words "Diabetes Care" are written in a smaller, less bold font.

diagnostic use) and is to be used as an aid to monitor the effectiveness of diabetes control. The CONTOUR® NEXT EZ blood qlucose monitoring system is indicated for use with fresh fingertip capillary whole blood samples.

The CONTOUR® NEXT EZ blood alucose monitoring system is not intended for the diagnosis of or screening for diabetes mellitus and is not intended for use on neonates.

The CONTOUR® NEXT test strips are for use with the CONTOUR® NEXT EZ blood glucose Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips.

Data demonstrating substantial equivalence

The Contour Next EZ Blood Glucose Meter consists of a small handheld blood glucose meter that is substantially equivalent to the predicate device, the Contour Next EZ Blood Glucose Meter (K130265). The modified and predicate devices use the same qlucose calculation algorithm. Both devices also use dry reagent test strips for the measurement of glucose in capillary whole blood by persons with diabetes and liguid controls to check the performance of the system. The same Contour Next test strips and Contour Next control solutions are used by both the modified and predicate devices.

A detailed comparison of the characteristics featured between the modified and predicate devices is provided in the tables on the following pages:

Modified Device (Contour Next EZ meter)

Image /page/4/Picture/8 description: The image shows a Contour Next EZ blood glucose meter. The meter's display shows a reading of 93 mg/dL, with the date as 10/13 and the time as 12:24 PM. The meter also has buttons for navigation and memory recall.

Predicate Device (Contour Next EZ meter)

Image /page/4/Picture/10 description: The image shows a Contour NEXT EZ blood glucose meter. The meter displays a reading of 93 mg/dL, along with the date 10/13 and time 12:24 PM. The device has a gray and white design with a display screen and buttons for navigation and settings. The Bayer logo is visible at the bottom of the meter.

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Image /page/5/Picture/0 description: The image contains the logo for Ascensia Diabetes Care. The logo features a purple triangle shape next to a blue teardrop shape. Below the shapes, the word "ASCENSIA" is written in a bold font, and below that, the words "Diabetes Care" are written in a smaller, less bold font.

| Summary of the Technological Characteristics of the Modified Device Compared to

Predicate
SIMILARITIES to Predicate
PredicateContour Next EZ (K162336)
CharacteristicContour Next EZ(K130265)(Modified Device)
Test StripContour Next Test StripsSame as Predicate
Control SolutionContour Next Control Solution
(Level 1 and 2)Same as Predicate
Detection MethodAmperometricSame as Predicate
Measuring Range20-600 mg/dLSame as Predicate
Sample Volume0.6 µLSame as Predicate
Countdown time displayed5 SecondsSame as Predicate
Operational Buttons2 button choice selection and
menu/power buttonSame as Predicate
Battery TypeTwo 3-volt lithium batteries
(DL2032 or CR2032)Same as Predicate
Operating Temperature
Range41°-113° FSame as Predicate
Operating Humidity Range10-93% RHSame as Predicate
Hematocrit Range15%-65%Same as Predicate
Meter life5 YearsSame as Predicate
Validated Product Used for
Cleaning and DisinfectionClorox Germicidal wipesSame as Predicate
Before and After Meal
MarkersYes, when used in advanced
settingSame as Predicate
Calibration/CodingAutocoding (no coding for
users)Same as Predicate
Display (technology)Segmented (LCD),
Alphanumeric characters &
lconsSame as Predicate
Display VisibilityDaylight onlySame as Predicate
Communication Link to
ComputerVia serial to USB cableSame as Predicate
Summary of the Technological Characteristics of the Modified Device Compared to
Predicate
SIMILARITIES to Predicate
CharacteristicPredicate
Contour Next EZ(K130265)Contour Next EZ (K162336)
(Modified Device)
Test Results in Memory480 Test ResultsSame as Predicate
Meter MaterialsCase Top/Bottom: ABS
Buttons: ASSame as Predicate

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Image /page/6/Picture/0 description: The image contains the logo for Ascensia Diabetes Care. The logo features a purple triangle shape next to a blue teardrop shape. Below the shapes, the text "ASCENSIA" is written in a larger font, and "Diabetes Care" is written in a smaller font.

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Image /page/7/Picture/0 description: The image shows the logo for Ascensia Diabetes Care. The logo features a purple triangle on the left and a blue teardrop shape on the right. Below the shapes, the word "ASCENSIA" is written in a sans-serif font, and below that, the words "Diabetes Care" are written in a smaller font.

DIFFERENCES from Predicate
CharacteristicPredicate
Contour Next EZ
(K130265)Contour Next EZ
(K162336)
(Modified Device)Risk Assessment Summary
Improved detection of test strips that
may have been exposed to a chemical
that can degrade the mediatorNoYesThe error check improves the ability of the
modified meter to detect exposed test strips
and provide an error message instead of a high
biased result.
Improved detection of un-mixed
control solutionNoYesThe error check improves the ability of the
modified meter to detect un-mixed control test
solutions and provide an error message instead
of a high biased result.
Improved detection of sample
perturbation' during a testNoYesThe error check improves the ability of the
modified meter to detect a sample that is
disturbed during the countdown period and
provide an error message instead of a biased
result.
Improved data down load capabilities
of the meter due to the addition of
specific information parameters to the
communication protocol:
a) The maximum number of blood
glucose (BG) records that the meter
can store (BGMAX)
b) The total number of BG records that
have ever been stored in meter
(BGTOTAL)
c) Get a single BG record or set of
records when requested from anNoYesThe communication changes do not have any
impact on the user interface or customer blood
glucose test results.
DIFFERENCES from Predicate
CharacteristicPredicate
Contour Next EZ
(K130265)Contour Next EZ
(K162336)
(Modified Device)Risk Assessment Summary
external application (such as a data
management system)
d) Get the actual number (total) BG
records that the meter currently has
stored when requested from an
external application (such as a data
management system)
e) Ability to set BGTOTAL to zero (this
feature is only used for internal
testing)

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Image /page/8/Picture/0 description: The image shows the logo for Ascensia Diabetes Care. The logo features a stylized letter "A" in purple, with a blue teardrop shape next to it. Below the shapes, the word "ASCENSIA" is written in a sans-serif font, with the words "Diabetes Care" written in a smaller font below it.

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Image /page/9/Picture/0 description: The image shows the logo for Ascensia Diabetes Care. The logo features a stylized "A" shape in purple, with a blue teardrop shape attached to the right side of the "A". Below the shape is the word "ASCENSIA" in a sans-serif font, and below that is the phrase "Diabetes Care" in a smaller font.

Summary of Performance testing

Bench testing was conducted to ensure that the error checks acted as intended and qave error messages for:

  • Test strips that had been exposed to a reducing agent
  • Un-mixed control test solution
  • Samples that had been disturbed during the test countdown

Equivalency testing was conducted to ensure the performance of the modified and predicate meters was not statistically different.

Software verification testing was conducted to ensure that no qood results were classified as errors as a result of the modifications.

Control testing was conducted to ensure that adequately mixed control solution did not generate error codes.

Conclusions from Performance Evaluations

The Contour Next EZ Blood Glucose Monitoring System is substantially equivalent in its intended use, performance, safety and effectiveness to the predicate Contour Next EZ Blood Glucose Monitoring System (K130265) based on the performance of the modified Contour Next EZ Blood Glucose Monitoring System.