K Number
K171182
Device Name
ri-former Predictive Thermometer
Date Cleared
2017-10-04

(163 days)

Product Code
Regulation Number
880.2910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is used for measuring body temperature in the mouth (oral) in the anus (rectal) and in the armpit (axillary). It is intended for adults, children and infants.
Device Description
The ri-former® Predictive Thermometer is a fast, highly accurate, and easy to use clinical instrument for measuring patient temperatures by oral, axillary or rectal means. The thermometer is driven by the power supply of our ri-former® diagnostic station. There are rectal (red) and oral, axillary (blue) probes available. To prevent from cross contamination the thermometer needs to be used with disposable probe covers. The thermometer can be used for the temperature measurement of all patients and is designed for the use in hospitals, clinics, medical practices or similar facilities.
More Information

No reference devices were used in this submission.

No
The summary describes a standard predictive thermometer and does not mention any AI or ML components. The performance studies focus on standard electrical safety, biocompatibility, and performance testing against established standards, not on AI/ML model validation.

No
Explanation: This device is a thermometer used for measuring body temperature, which is a diagnostic tool, not a therapeutic intervention.

No
The device measures body temperature, which is a vital sign indicating a patient's current state, but it does not diagnose a disease or condition. It is a measurement tool.

No

The device description explicitly states it is a "clinical instrument" and mentions physical components like "probes" and a "power supply," indicating it is a hardware device with integrated software, not a software-only device.

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

Here's why:

  • Intended Use: The device is used for measuring body temperature. This is a physiological measurement taken directly from the patient's body.
  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description: The description clearly states it's a "clinical instrument for measuring patient temperatures by oral, axillary or rectal means." This involves direct contact with the patient.

The device is a clinical thermometer, which is a medical device used for measuring body temperature, not an IVD.

N/A

Intended Use / Indications for Use

The device is used for measuring body temperature in the anus (rectal) and in the armpit (axillary). It is intended for adults, children and infants.

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

FLL

Device Description

The ri-former® Predictive Thermometer is a fast, highly accurate, and easy to use clinical instrument for measuring patient temperatures by oral, axillary or rectal means. The thermometer is driven by the power supply of our ri-former® diagnostic station.
There are rectal (red) and oral, axillary (blue) probes available.
To prevent from cross contamination the thermometer needs to be used with disposable probe covers. The thermometer can be used for the temperature measurement of all patients and is designed for the use in hospitals, clinics, medical practices or similar facilities.

Mentions image processing

No

Mentions AI, DNN, or ML

No

Input Imaging Modality

Not Found

Anatomical Site

mouth (oral), anus (rectal), armpit (axillary)

Indicated Patient Age Range

adults, children and infants

Intended User / Care Setting

hospitals, clinics, medical practices or similar facilities

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 determined that the ri-former® Predictive Thermometer performance is substantially equivalent to the predicate device.

Biocompatibility:
The human contacting components, the probe and probe cover, were tested in accordance with:
-ISO 10993-5:2009 biological evaluation of medical devices – Part 5: Tests for in vitro cytotoxicity
-ISO 10993-10:2013 biological evaluation of medical devices – Part 10: Tests for irritation and skin sensitization

Electrical Safety and EMC:
The device was tested accordance with:

  • IEC 60601-1:2005+CORR.1:2006+CORR.2:2007+AM1:2012, Medical Electrical Equipment - Part 1: General Requirements for Basic Safety and Essential Performance.
  • IEC 60601-1-2:2007(Third edition), Medical Electrical Equipment -- Part 1-2: General Requirements for Basic Safety and Essential Performance -- Collateral Standard: Electromagnetic Disturbances -- Requirements and Tests

Performance Testing:

  • ISO 80601-2-56 First Edition 2009-10-01 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

Software Verification and Validation:
Per FDA's Guidance Document "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices", Riester has provided appropriate software documentation based on moderate Level of Concern. A system level software verification and validation protocol was developed to test each requirement. Results of each test are recorded and compared to the pass/fail criteria. All software verification and validation activities show that the software meets product requirements documentation.

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.

K003313

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.

No reference devices were used in this submission.

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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Public Health Service

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

October 4, 2017

Rudolf Riester GmbH % Mike Gu Regulatory Affairs Manager Guangzhou Osmunda Medical Device Technical Service Co., Ltd. 7th Floor, Jingui Business Building No.982 Congyun Rd. Baiyun District Guangzhou, 510420 CHINA

Re: K171182

Trade/Device Name: ri-former Predictive Thermometer Regulation Number: 21 CFR 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: Class II Product Code: FLL Dated: August 25, 2017 Received: August 28, 2017

Dear Mike Gu:

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.

Image /page/0/Picture/10 description: The image is a circular seal for the Department of Health & Human Services - USA. The seal features the department's logo, which consists of a stylized caduceus with three intertwined snakes and a staff. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the perimeter of the seal.

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 (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.

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 (DICE) 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 (DICE) 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,

Tina
Kiang-S

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) K171182

Device Name ri-former® Predictive Thermometer

Indications for Use (Describe)

The device is used for measuring body temperature in the anus (rectal) and in the armpit (axillary). It is intended for adults, children and infants.

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 contains the logo for the company Riester. The logo consists of a circular graphic on the left, followed by the company name "Riester" in bold, blue letters. A horizontal line is placed underneath the company name.

510(k) Summary

K171182

In accordance with 21 CFR 807.92 the following summary of information is provided:

SUBMITTER l.

Rudolf Riester GmbH P.O. Box 35, Bruckstraße 31, DE - 72417Jungingen, Germany Phone: +74 77-92 70-0

Fax: +74 77-92 70-70

Primary Contact Person:Mike Gu
Regulatory Affairs Manager
OSMUNDA Medical Device Consulting Co., Ltd
Tel: (+86) 20-6232 1333
Fax: (+86) 20-8633 0253
Secondary Contact Person:Artur Pfister
Quality Manager & Regulatory Affairs
Rudolf Riester GmbH
Tel: +74 77-92 70-0
Fax: +74 77-92 70-70
Date Prepared:Apr 21, 2017

II. DEVICE

Name of Device:ri-former® Predictive Thermometer
Common/Usual Name:Clinical electronic thermometer
Classification Names:Clinical electronic thermometer (21 CFR 880.2910)

FLL Product Code:

ll

Regulation Class:

4

lll. PREDICATE DEVICE

FILAC FAS TEMP ELECTRONIC THERMOMETER, K003313

This predicate has not been subject to a design-related recall. No reference devices were used in this submission.

IV. DEVICE DESCRIPTION

The ri-former® Predictive Thermometer is a fast, highly accurate, and easy to use clinical instrument for measuring patient temperatures by oral, axillary or rectal means. The thermometer is driven by the power supply of our ri-former® diagnostic station.

There are rectal (red) and oral, axillary (blue) probes available.

To prevent from cross contamination the thermometer needs to be used with disposable probe covers. The thermometer can be used for the temperature measurement of all patients and is designed for the use in hospitals, clinics, medical practices or similar facilities.

V. INDICATION FOR USE

The device is used for measuring body temperature in the mouth (oral) in the anus (rectal) and in the armpit (axillary). It is intended for adults, children and infants.

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Image /page/5/Picture/1 description: The image shows the Riester logo. The logo consists of a circular symbol on the left and the word "Riester" on the right. The circular symbol is made up of two concentric circles with a gray sphere in the center. The word "Riester" is written in a bold, blue font.

VI. SUBSTANTIAL EQUIVELENCE

SpecificationPredicate DeviceProposed DeviceDiscussion of Differences
Device nameFILAC FAS TEMP ELECTRONICri-former PREDICTIVE
THERMOMETERTHERMOMETER
K numberK003313------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ClassificationClass IIClass IIIdentical
Product codeFLLFLLIdentical
Intended useThe device is used as a predictive
measurement of temperature by
Oral, Axillary, or Rectal means.
It is intended for use on people of
all ages.The device is used for measuring
body temperature in the mouth
(oral) in the anus (rectal) and in
armpit
(axillary). It
the
ાંડ
intended for adults, children and
infants.Identical
Mechanism ofThe electronic thermometer is detected by thermistor and calculatedIdentical
actionto provide fast and accurate temperature measurements.
SpecificationPredicate DeviceProposed DeviceDiscussion of Differences
Power sourceBatteryri-former diagnostic station is
designed as a base unit for the
power supply.Different, the proposed product
was
demonstrated
electromagnetic compatibility
and electrical safety by the
testing. The difference does not
raise the issues of product's
safety and effectiveness.
ComponentsProbeProbeIdentical
Plastic enclosePlastic encloseIdentical
LCDLCDIdentical
ButtonButtonIdentical
batteryAC powerDifferent, the proposed device is
validated to be electrical safety,
refer to the test report of IEC
60601-1 and IEC 60601-1-2.
Probe coverProbe coverIdentical
Probe cableProbe cableIdentical
Circuit BoardCircuit BoardIdentical
No mountingWall mounting platesSimilar. The predicate is a handle
device. The proposed device is
designed to be mounted on the
wall, so the mounting plates are
required.
SpecificationPredicate DeviceProposed DeviceDiscussion of Differences
MaterialsEnclose cover: Flame retardant
polycarbonate-polyester blendEnclose cover: Acrylonitrile
butadiene styrene copolymers
(ABS D-1000)The material of the enclose cover
is different. The ABS material is
widely used in medical devices
Probe Handle: Flame retardant
polycarbonate-polyester blendProbe Handle: Flame retardant
polycarbonate-polyester blendIdentical
Probe Shaft: Flame retardant
polyesterProbe Shaft: Flame retardant
polyesterIdentical
Probe Cable: Polyurethane jacket
with TPE over moldProbe Cable: Polyurethane jacket
with TPE over moldIdentical
Tip: AluminumTip: AluminumIdentical
Probe cover: High density
polyethylene ( HDPE)Probe cover: High density
polyethylene ( HDPE)Identical
The device is constructed with non-
latex materialsThe device is constructed with
non-latex materialsIdentical
SensorThermistorIdentical
Anatomic siteOral, axillary, rectalIdentical
Environment of
UseHospital, clinics, medical practices or similar facilities. No use in MR
environment.Identical
Temperature range30 °C to 43 °C (86 °F to 109 °F)Identical
SpecificationPredicate DeviceProposed DeviceDiscussion of Differences
Ambient
temperature
environment10 °C to 40 °C (50 °F to 104 °F)Identical
AccuracyWater Bath Accuracy (35.5 °C to 42.0 °C): Direct Mode (All Sites): ±
0.1 °C (±0.2 °F)
Standard Prediction Mode (All Sites)**: ±0.1 °C (±0.2°F)
Quick Prediction Mode (Oral Only)**: ±0.3 °C (±0.5°F)
Patient Accuracy: In standard predict mode, thermometer accuracy
meets EN 12470-3
A Standard Prediction Mode reading and a Direct Mode reading will
differ by less than ±0.2°C (±0.4 °F) on 98% of tested patientsIdentical
Precision and
repeatabilityA Standard Prediction Mode reading and a Direct Mode reading will
differ by less than ± 0.2 °C (± 0.4 °F) on 98% of tested patientsIdentical
Response timeOral (Quick Mode): 3-5 seconds (non-fever temps), 8-10 seconds (fever
temps)
Oral (Standard Mode): 6-10 seconds
Axillary Mode: 8-12 seconds
Rectal Mode: 10-14 seconds
Direct Mode (All Sites): 60-120 secondsIdentical
ProbeThe probe used in proposed device is the identical one of the predicate
device.Identical
SpecificationPredicate DeviceProposed DeviceDiscussion of Differences
Patient contact
materialsProbe cover: High density polyethylene ( HDPE)
The probe cover used in proposed device is the identical one of the
predicate device.Probe cover: High density polyethylene ( HDPE)
The probe cover used in proposed device is the identical one of the
predicate device.Identical
User functionDirect ModeDirect ModeIdentical
Quick ModeQuick ModeIdentical
Cold ModeCold ModeIdentical

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Image /page/6/Picture/1 description: The image contains the logo for Riester. The logo consists of a circular symbol on the left and the word "Riester" in blue, block letters on the right. The circular symbol appears to be a stylized representation of an eye or a lens.

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() Riester

8

() Riester

9

() Riester

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Image /page/10/Picture/1 description: The image shows the logo for the company Riester. The logo consists of a blue circle with a smaller black circle inside, and the word "Riester" in blue, block letters. The logo is simple and modern, and the blue color gives it a professional look.

VII. NON-CLINICAL PERFORMANCE DATA

The following performance data were provided in support of the substantial equivalence:

Biocompatibility:

The human contacting components, the probe and probe cover,

were tested in accordance with:

-ISO 10993-5:2009 biological evaluation of medical devices – Part

5: Tests for in vitro cytotoxicity

-ISO 10993-10:2013 biological evaluation of medical devices – Part

10: Tests for irritation and skin sensitization

Electrical Safety and EMC:

The device was tested accordance with:

  • IEC 60601-1:2005+CORR.1:2006+CORR.2:2007+AM1:2012, Medical Electrical Equipment - Part 1: General Requirements for Basic Safety and Essential Performance.

  • IEC 60601-1-2:2007(Third edition), Medical Electrical Equipment -- Part 1-2: General Requirements for Basic Safety and Essential Performance -- Collateral Standard: Electromagnetic Disturbances -- Requirements and Tests

Performance Testing:

  • ISO 80601-2-56 First Edition 2009-10-01 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

Software Verification and Validation:

Per FDA's Guidance Document "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices", Riester has provided appropriate software documentation based on moderate Level of Concern. A system level software verification and validation protocol was developed to

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Image /page/11/Picture/0 description: The image shows the logo for Riester. The logo consists of a circular symbol on the left and the word "Riester" in blue on the right. The circular symbol has a gray sphere in the center, surrounded by two blue arcs.

test each requirement. Results of each test are recorded and compared to the pass/fail criteria. All software verification and validation activities show that the software meets product requirements documentation.

VIII. CLINICAL TESTING DATA

No clinical testing data is included in this submission.

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CONCLUSION IX.

ri-former® Predictive Thermometer and its application comply with the thermometer performance standards. Non-clinical tests determined that the ri-former® Predictive Thermometer performance is substantially equivalent to the predicate device.