K Number
K162509
Device Name
Infrared Non-contact Thermometer, Model ACT8100
Date Cleared
2017-03-10

(183 days)

Product Code
Regulation Number
880.2910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Infrared Non-Contact Thermometers, ACT8100, is non-sterile, reusable clinical thermometers intended for the intermittent determination of human body temperature measured at the center of the forehead without contact. The device is intended for use on people of all ages, except pre-term babies or very small (small for gestational age). The device is intended for use in clinical and home use environments.
Device Description
The Infrared Non-Contact Thermometer, ACT8100 is a hand-held device powered by batteries and designed to measure human body temperature without contacting patients. This thermometer can switch modes between forehead and ambient temperatures. The ambient temperature mode is DIRECT MODE and the forehead temperature mode is ADJUSTED MODE. The forehead temperature of the ADJUSTED MODE is calculated by converting the measured temperature of the DIRECT MODE to an oral equivalent temperature without contacting the patient's forehead. Infrared Non-Contact Thermometer, ACT8100 uses a thermopile integrated with a thermistor, a thermistor mounted on the head of the thermometer for ambient temperature readings, and an optoelectronic mechanism that focuses the infrared energy emitted from the user s forehead for the detection of noncontact use and calibration of temperature reading.
More Information

No
The description details a calculation based on converting a direct temperature reading to an oral equivalent, which is a standard algorithmic process, not indicative of AI/ML. There is no mention of AI, ML, or related concepts like training/test sets.

No
The device is described as a clinical thermometer intended for the intermittent determination of human body temperature. It measures temperature, but does not provide any treatment or therapy.

Yes.
The device is intended for the "intermittent determination of human body temperature," which is a measurement used to aid in clinical diagnosis. While it doesn't diagnose a specific disease, temperature measurement is a key diagnostic parameter.

No

The device description explicitly states it is a "hand-held device powered by batteries" and includes hardware components like a thermopile, thermistor, and optoelectronic mechanism.

Based on the provided information, this device is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs are used to examine specimens derived from the human body. The intended use and device description clearly state that this thermometer measures human body temperature directly from the forehead without contact. It does not analyze blood, urine, tissue, or any other bodily specimen.
  • The measurement is taken directly from the body. The device measures infrared energy emitted from the forehead, which is a direct measurement from the living body, not an analysis of a sample taken from the body.

Therefore, the Infrared Non-Contact Thermometer, ACT8100, is a medical device, but it falls under the category of a clinical thermometer used for direct physiological measurement, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Infrared Non-Contact Thermometers, ACT8100, is non-sterile, reusable clinical thermometers intended for the intermittent determination of human body temperature measured at the center of the forehead without contact. The device is intended for use on people of all ages, except pre-term babies or very small (small for gestational age). The device is intended for use in clinical and home use environments.

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

FLL

Device Description

The Infrared Non-Contact Thermometer, ACT8100 is a hand-held device powered by batteries and designed to measure human body temperature without contacting patients. This thermometer can switch modes between forehead and ambient temperatures. The ambient temperature mode is DIRECT MODE and the forehead temperature mode is ADJUSTED MODE. The forehead temperature of the ADJUSTED MODE is calculated by converting the measured temperature of the DIRECT MODE to an oral equivalent temperature without contacting the patient's forehead. Infrared Non-Contact Thermometer, ACT8100 uses a thermopile integrated with a thermistor, a thermistor mounted on the head of the thermometer for ambient temperature readings, and an optoelectronic mechanism that focuses the infrared energy emitted from the user s forehead for the detection of noncontact use and calibration of temperature reading.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

forehead

Indicated Patient Age Range

all ages, except pre-term babies or very small (small for gestational age)

Intended User / Care Setting

clinical and home use environments.

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)

A clinical study was performed to determine the clinical accuracy and to provide comparison with the predicate device. The three groups of subjects being tested were: (1) Infants of under 1 year old, (2) Children between 1 to 5 years old, (3) Adults

Each group of subjects underwent a series of temperature measurement at their forehead and back of ear using ACT 8100 and BRUAN Infrared no touch + forehead thermometer NTF 3000. This series of measurement was intended to indicate and ultimately compare the repeatability of ACT 8100 and NTF 3000. The repeatability of both devices is found to be under 0.3℃. which is within the acceptable range as required by EN12470-5:2003, subclause 6.3.4. In addition, the repeatability of the both devices were found to be similar, further indicating that the ACT 8100 has reasonable accuracy and reliability. The three subject groups underwent a series of temperature measurement using the reference thermometer, Actherm Digital Clinical Thermometer ACT 2130 (K031905), either at the rectal, oral, or axillary site depending on their age group. These temperature measurements were then each compared to the temperature measurements taken by ACT 8100 and that of NTF 3000. The clinical biases of these measurements taken by ACT 8100 were found to be similar to that of NTF 3000, indicating that ACT 8100 produces effective and accurate temperature measurements.

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

repeatability of both devices is found to be under 0.3℃.

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.

K134043

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.

K031905

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

March 10, 2017

Easywell Biomedicals, Inc. Arthur Chen Quality Assurance Manager Suite 2, 2F, No.9, Jhanye 1st Rd, Hsinchu Science Park Hsinchu, 30078 TAIWAN

Re: K162509

Trade/Device Name: Infrared Non-contact Thermometer, Model ACT8100 Regulation Number: 21 CFR 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: Class II Product Code: FLL Dated: January 26, 2017 Received: February 15, 2017

Dear Arthur Chen:

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.

1

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 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,

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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) K162509

Device Name

Infrared Non-Contact Thermometer, Model ACT8100

Indications for Use (Describe)

The Infrared Non-Contact Thermometers, ACT8100, is non-sterile, reusable clinical thermometers intended for the intermittent determination of human body temperature measured at the center of the forehead without contact. The device is intended for use on people of all ages, except pre-term babies or very small (small for gestational age). The device is intended for use in clinical and home use environments.

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)

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Image /page/3/Picture/0 description: The image shows the logo for Easywell Biomedicals. The logo features the word "EASYWELL" in blue, with a green checkmark-like symbol incorporated into the "W". Below the word "EASYWELL" is the word "Biomedicals" in a smaller font. A curved line of green dots appears below the word "Biomedicals", adding a visual element to the logo.

K162509 510(k) Summary

I. Submitter

EASYWELL BIOMEDICALS, INC.

Suite 2, 2F, No.9, Jhanye 1st Rd., Hsinchu Science Park, 30078 Hsinchu, TAIWAN

Phone:+886-3-666-9596

FAX: +886-3-666-9697

Contact Person:Richard Hsieh

Date: January 25, 2017

II. Device

Trade Name:Infrared Non-Contact Thermometer, Model ACT8100

Common Name: Infrared Thermometer

Regulation Number: 21 CFR 880. 2910

Regulation Name:Clinical Electronic Thermometer

Regulatory Class : II

Product Code:FLL

III. Predicate Device

K134043 : BRAUN No Touch + Forehead Thermometer; ModelNTF3000US (US Model)

Reference Device

K031905: Actherm Digital Clinical Thermometer ACT 2130

IV. Device Description

The Infrared Non-Contact Thermometer, ACT8100 is a hand-held device powered by batteries and designed to measure human body temperature without contacting patients. This thermometer can switch modes between forehead and ambient temperatures. The ambient temperature mode is DIRECT MODE and the forehead temperature mode is ADJUSTED MODE. The forehead temperature of the ADJUSTED MODE is calculated by converting the measured temperature of the DIRECT MODE to an oral equivalent temperature without contacting the patient's forehead. Infrared Non-Contact Thermometer, ACT8100 uses a thermopile integrated with a thermistor, a thermistor mounted on the head of the thermometer for ambient temperature readings, and an optoelectronic mechanism that focuses the infrared energy emitted from the user s forehead for the detection of noncontact use and calibration of temperature reading.

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Image /page/4/Picture/0 description: The image shows the logo for Easywell Biomedicals. The logo has the word "EASYWELL" in blue, with the "V" in "EASYWELL" being a lighter shade of blue. Below the word "EASYWELL" is the word "Biomedicals" in a smaller font. Below the word "Biomedicals" is a curved line of blue dots.

Physical and Performance characteristics:

Dimension163×44×26mm approximately
WeightApproximately 75g without battery; 88g with batteries
Measuring
Range32.0 °C ~ 43.9 °C (89.6 °F ~ 111.0 °F)
Accuracy± 0.2 °C (for 35.0~42.0°C); ± 0.3°C (for below 34.9°C or above
42.1°C)

V. Indication for Use

The Infrared Non-Contact Thermometers, ACT8100, is non-sterile, reusable clinical thermometers intended for the intermittent determination of human body temperature measured at the center of the forehead without contact. The device is intended for use on people of all ages, except pre-term babies or very small (small for gestational age). The device is intended for use in clinical and home use environments.

VI. Conformance Standards

The Infrared Non-Contact Thermometers conform to the following standards:

    1. ISO 80601-2-56:2009 Medical electrical equipment Part 2-56: Particular requirements for basic safety and essential performance of clinical thermometers for body temperature measurement.
    1. ASTM E1965-98:2009 Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature.
    1. IEC 60601-1:2012 Medical electrical equipment Part 1: General requirements for basic safety and essential performance
    1. IEC 60601-1-2:2014 Medical electrical equipment Part 1-2: General requirements for basic safety and essential performance - Collateral standard Electromagnetic compatibility -Requirements and tests
    1. IEC 60601-1-11:2010 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
    1. ISO 14971:2007 Medical Devices: Application of Risk Management to Medical Devices.
    1. Software: FDA Guidance for the Content of Premarket Submissions for Software contained in Medical Device
    1. ISO 10993-1:2009 Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process.
    1. ISO 10993-5:2009 Biological evaluation of medical devices Part 5: Tests for in vitro cytotoxicity.
    1. ISO 10993-10: 2010 Biological evaluation of medical devices. Tests for irritation and delayedtype hypersensitivity

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Image /page/5/Picture/0 description: The image shows the logo for Easywell Biomedicals. The logo is in blue and features the word "EASYWELL" in a stylized font. Below the word is the word "Biomedicals" in a smaller font. Underneath the words is a curved line made of blue-green dots.

VII. Similarities/Differences between the subject and predicate device:
Subject Device(s)Predicate Device
ELEMENT OF
COMPARISONACT8100No touch + forehead
thermometer
(NTF3000US)Comparison
ClassificationThermometer
Clinical Electronic,
Class II DeviceThermometer
Clinical Electronic,
Class II DeviceThe device
classifications are
identical
Intended UseA non-sterile, reusable
clinical thermometer
intended for the
intermittent
determination of human
body temperature
measured at the center
of the forehead without
contact. The device is
intended for use on
people of all ages,
except pre-term babies
or very small (small for
gestational age). The
device is intended for
use in clinical and homeA non-sterile, reusable
clinical thermometer
intended for the
intermittent
determination of the
human's body
temperature in a touch
and no touch on the
center of the forehead
as the measurement site
on people of all ages.The intended use
statements are
similar
SensorInfrared: converts a
user's forehead
temperature using the
infrared energy emitted
in the area around the
user's forehead to an
oral equivalent
temperature when
placed up to 2-8cm
away.Infrared: converts a
user's
forehead
temperature using the
infrared energy emitted
in the area around the
user's forehead to an
oral equivalent
temperature when
placed in contact with
the subject's forehead
or up to 2 inches away.Technological
characteristics are
similar
ELEMENT OF
COMPARISONSubject Device(s)Predicate DeviceComparison
Power
RequirementACT8100:
1.5V AAA size Alkaline battery *21.5V AA size battery *2Battery size different, but the power requirements are similar (voltage outputs are the same)
Dimensions:
163×44×26 mmDimensions:
Length:148
Head: 44×26 mm
Body: 37×24 mmHead dimension is similar, the body length is different.
FunctionalityMaterials:
All skin contacting materials have been tested in accordance with ISO 10993-1、-5、-10.Materials:
All skin contacting materials have been tested in accordance with ISO 10993-1、-5、-10.Material characteristics all meet biological requirements
Measuring ranges:
$32.0 °C ~ 43.9 °C$Measuring ranges:
$34.4 °C ~ 42.2 °C$All meet ASTM E 1965-98:2009
Accuracy:
$35.0 °C ~ 42.0 °C: ± 0.2 °C$
$42.0 °C: ± 0.3 °C$Accuracy:
$35.0 °C ~ 42.0 °C: ± 0.2 °C$
Out of above range: ± 0.3 °CAll meet ASTM E 1965-98:2009
Forehead measuring distance:
2~8 cmForehead measuring distance:
0~5 cmSimilar

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Image /page/6/Picture/0 description: The image shows the logo for Easywell Biomedicals. The logo features the word "EASYWELL" in a stylized font, with the "V" in "WELL" replaced by a green checkmark. Below the word "EASYWELL" is the word "Biomedicals" in a smaller, sans-serif font. A curved line of green dots appears below the word "Biomedicals".

VIII. Comparison of Technological Characteristics with the Predicate Device:

The technological characteristics of ACT8100 and predicate device (NTF3000US) are similar. Both convert user's forehead temperature using the infrared energy emitted in the area around the user 's forehead to an oral equivalent temperature.

The differences between ACT 8100 and predicate device (NTF3000US) do not raise different questions of safety or effectiveness.

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Image /page/7/Picture/0 description: The image shows the logo for Easywell Biomedicals. The logo is in blue and green, with the word "EASYWELL" in large, bold letters. Below the word "EASYWELL" is the word "Biomedicals" in smaller letters. A curved line of blue and green dots appears below the word "Biomedicals".

DifferenceDifference DescriptionReasons why not raising new questions
Battery sizeACT 8100 using AAA size,
the predicated device
(NTF3000US) using AA sizeThe output voltage is the same, and the
differences are verified not to raise new
questions regarding safety and effectiveness
requirements within standard IEC60601-1
electrical safety requirements and IEC 60601-
1-2 EMC test.
DimensionsThe design of shape is not
very similar.The differences are verified not to raise new
questions regarding safety and effectiveness
requirements within standard IEC60601-1
electrical safety requirements & ASTM E
1965-98:2009
Ambient
measuring
rangesACT 8100 (32.0°C ~ 43.9°C)
is a little wider than The No
Touch + Forehead
Thermometer (34.4°C ~
42.2°C).The differences are verified not to raise new
questions regarding safety and effectiveness
requirements within standard IEC60601-1
electrical safety requirements & ASTM E
1965-98:2009
Forehead
measuring
distance(sensor)The predicated device
(NTF3000US) designed for
both contact and no-contact.
ACT 8100 is designed for
only non-contact.The differences are verified not to raise new
questions regarding safety and effectiveness
requirements within standard IEC60601-1
electrical safety requirements & ASTM E
1965-98:2009

IX. Non-Clinical Safety and Performance Testing

Non-clinical performance tests used to demonstrate the substantial equivalence of ACT 8100 to the predicate device. The device conforms to the requirements of laboratory accuracy, general electrical safety, electromagnetic compatibility and biocompatibility. Thus, the device has the same performance characteristics as the predicate device.

| Non-Clinical Performance

TestingStandard/Guidance Applied and Conformed
Laboratory accuracyASTM E1965-98:2009
ISO 80601-2-56:2009
General Electrical SafetyIEC 60601-1:2012
IEC 60601-1-11:2010
Electromagnetic
CompatibilityIEC 60601-1-2:2014
BiocompatibilityISO 10993-1;ISO 10993-5; ISO 10993-10
SoftwareIEC 62304
UsabilityIEC 62366
Risk ManagementISO 14971

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Image /page/8/Picture/0 description: The image shows the logo for Easywell Biomedicals. The logo is blue and features the word "EASYWELL" in a stylized font. Below the word "EASYWELL" is the word "Biomedicals" in a smaller font. Underneath the word "Biomedicals" is a curved line of blue-green dots.

X. Clinical Testing

A clinical study was performed to determine the clinical accuracy and to provide comparison with the predicate device. The three groups of subjects being tested were: (1) Infants of under 1 year old, (2) Children between 1 to 5 years old, (3) Adults

Each group of subjects underwent a series of temperature measurement at their forehead and back of ear using ACT 8100 and BRUAN Infrared no touch + forehead thermometer NTF 3000. This series of measurement was intended to indicate and ultimately compare the repeatability of ACT 8100 and NTF 3000. The repeatability of both devices is found to be under 0.3℃. which is within the acceptable range as required by EN12470-5:2003, subclause 6.3.4. In addition, the repeatability of the both devices were found to be similar, further indicating that the ACT 8100 has reasonable accuracy and reliability. The three subject groups underwent a series of temperature measurement using the reference thermometer, Actherm Digital Clinical Thermometer ACT 2130 (K031905), either at the rectal, oral, or axillary site depending on their age group. These temperature measurements were then each compared to the temperature measurements taken by ACT 8100 and that of NTF 3000. The clinical biases of these measurements taken by ACT 8100 were found to be similar to that of NTF 3000, indicating that ACT 8100 produces effective and accurate temperature measurements.

XI. Conclusion

Infrared Non-Contact Thermometers, ACT8100 has similar intended use, principles of operation, and similar technological characteristics as the predicate device identified. Performance testing contained in this submission demonstrates the minor differences in technological characteristics between the subject device and the predicate do not raise different questions of safety and effectiveness. Results from the clinical study demonstrate substantial equivalence of accuracy and reliability of ACT 8100 and its similarity with NTF 3000. Thus, the Infrared Non-Contact Thermometer is substantially equivalent to the predicate device.