K Number
K171578
Date Cleared
2017-11-30

(183 days)

Product Code
Regulation Number
880.2910
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Infrared thermometer model A200 is a non-contact infrared thermometer intended for the intermittent measurement of human body temperature by Forehead mode for people of all ages.

The Infrared thermometer model A201 is a multi-function infrared thermometer intended for the intermittent measurement of human body temperature by Ear mode or Forehead mode for people of all ages.

Device Description

The Infrared thermometers are hand-held, battery powered devices designed to measure human body temperature from the auditory canal or central forehead. Its operation is based on measuring the natural thermal radiation from the tympanic membrane or central forehead.

The thermometers use a thermopile sensor with integrated thermistor for the target reading, a thermistor mounted in the head of the thermometer for ambient temperature readings, a parabolic mirror to help focus the infrared energy emitted from the forehead, and an infrared distance sensor for detection of contact or no-contact use and compensation of the temperature reading.

The device consists of the MCU, enclosure and LED and the device is powered by 2 AAA alkaline batteries.

The device has a memory function that automatically stores 25 sets data of the latest measurements. It can also display the latest measurement result.

The Infrared thermometer included A200 & A201. A200 unit is a no- contact Infrared forehead thermometer, A201 unit is multifunction infrared thermometer and it can be selected Ear mode or Forehead mode.

AI/ML Overview

The provided text describes the 510(k) Summary for the Infrared thermometer models A200 and A201. It includes a comparison to predicate devices and discusses performance data but does not provide a comprehensive study proving the device meets specific acceptance criteria in the format requested.

The document discusses conformance to standards as evidence of performance, but does not present a detailed study with acceptance criteria and results for each.

However, based on the provided text, here's an attempt to extract and infer the closest information to your request:


1. Table of Acceptance Criteria and Reported Device Performance

The document primarily refers to compliance with established standards rather than specific acceptance criteria thresholds in a direct table format. The "Accuracy" section under the predicate comparisons acts as the closest representation of performance.

Model A200 (Forehead Mode)

Acceptance Criteria (from standard/predicate)Reported Device Performance (Model A200)
+/- 0.2°C (0.4°F) within 36.0°C ~39.0°C (96.8°F ~102.2°F)+/- 0.2°C (0.4°F) within 36.0°C ~39.0°C (96.8°F ~102.2°F)
+/- 0.3°C (0.5°F) for other ranges+/- 0.3°C (0.5°F) for other ranges

Model A201 (Ear/Forehead Mode)

Acceptance Criteria (from standard/predicate)Reported Device Performance (Model A201)
+/- 0.4°F (0.2°C) within 96.8102.2°F (3639°C)+/- 0.4°F (0.2°C) within 96.8102.2°F (3639°C)
+/- 0.5°F (0.3°C) for other ranges+/- 0.5°F (0.3°C) for other ranges

Note: The document states that "the measurement range of subject devices meet the requirements of ISO80601-2-56" and that the "performance test result of A200 & A201 shows the accuracy meets the requirements within the distance range." This implies that the device met the requirements outlined in these standards for accuracy and measurement distance, which serve as the acceptance criteria.

2. Sample Size Used for the Test Set and Data Provenance

The document mentions:

  • Clinical data: "According to the ASTM E 1965-98, the clinical trial was performed for people of all ages."
  • Sample Size: Not explicitly stated.
  • Data Provenance: Not explicitly stated (e.g., country of origin, retrospective or prospective). It is inferred to be prospective as it's a "clinical trial."

3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

This information is not provided in the document. The reference to a "clinical trial" implies expert involvement in temperature measurement (e.g., using a reference thermometer), but details about these experts (number, qualifications) are absent.

4. Adjudication Method for the Test Set

This information is not provided in the document.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

This is not applicable as the device is an infrared thermometer for direct measurement, not an AI-assisted diagnostic tool that would involve human "readers."

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Yes, the device operates in a standalone manner as an infrared thermometer. Its performance is evaluated intrinsically through various tests and a clinical trial. The "Performance Data" section details compliance to standards and verification of:

  • Measurement Range & Accuracy
  • Measurement distance
  • Response time

The "Clinical data" section further confirms its standalone performance: "The test report shows clinical accuracy meets the range claimed by manufacturer. It can conclude that the subject devices, model A200 & A201, are acceptable to measure human body's temperature."

7. The Type of Ground Truth Used

The ground truth for the clinical trial would likely be established using a (reference) clinical thermometer considered the gold standard for body temperature measurement, against which the infrared thermometer's readings are compared. This is implied by "clinical accuracy" evaluation. It is not pathology or outcomes data.

8. The Sample Size for the Training Set

This information is not applicable as the device is not described as involving machine learning or AI algorithms requiring a training set. It is a traditional medical device based on established physical principles (infrared radiation detection).

9. How the Ground Truth for the Training Set Was Established

This information is not applicable for the reasons stated in point 8.

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Image /page/0/Picture/0 description: The image contains the logo for AEON Technology. The logo consists of a green circular icon with a white triangle inside, followed by the word "aeon" in blue, with the word "TECHNOLOGY" in blue underneath. The logo is simple and modern, and the colors are bright and eye-catching.

Section 6

510(K) Summary

K171578

1. Prepared Date: October 11, 2017

2. Submitter Information

NameShenzhen Aeon Technology Co., Ltd.
AddressEast 5/F, Block 15 Industrial Zone of majialongNanshan District, Shenzhen, PRC
Contact personWendy Wang
Tel+86-755 86182120
Fax+86-755-86182141
E-mailwxm@aeon-med.com

3. Submission Correspondent

NameChonconn Medical Device Consulting Co.LTD.
Address22A, HaiJing Square,No.18 Taizi Road, Nanshan District, Shenzhen, Guangdong,P.R.China,
Contact personMei Tan(RA consultant)
E-mailFDA@chonconn.com/Xinmeitan@chonconn.com
Tel+86-755-33941160

4. Subject Device Information

Trade nameInfrared thermometer (Model A200 & A201)
ModelA200 & A201
Common nameInfrared thermometer
Classification nameThermometer, Electronic, Clinical
Regulation number21 CFR 880.2910
Product codeFLL

5. Predicate Device

Non-contact Clinical Thermometer, Model THB0F. (Radiant Innovation Inc, K121428)

RII Multi-function Infrared Thermometer, Model TH52Z. (Radiant Innovation Inc, K162083)

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Image /page/1/Picture/0 description: The image contains the logo for AEON Technology. The logo features a green circular symbol with a white triangle inside on the left. To the right of the symbol is the company name "AEON" in blue, with the word "TECHNOLOGY" in smaller blue letters underneath.

6. Description

The Infrared thermometers are hand-held, battery powered devices designed to measure human body temperature from the auditory canal or central forehead. Its operation is based on measuring the natural thermal radiation from the tympanic membrane or central forehead.

The thermometers use a thermopile sensor with integrated thermistor for the target reading, a thermistor mounted in the head of the thermometer for ambient temperature readings, a parabolic mirror to help focus the infrared energy emitted from the forehead, and an infrared distance sensor for detection of contact or no-contact use and compensation of the temperature reading.

The device consists of the MCU, enclosure and LED and the device is powered by 2 AAA alkaline batteries.

The device has a memory function that automatically stores 25 sets data of the latest measurements. It can also display the latest measurement result.

The Infrared thermometer included A200 & A201. A200 unit is a no- contact Infrared forehead thermometer, A201 unit is multifunction infrared thermometer and it can be selected Ear mode or Forehead mode.

7. Indications for Use

The Infrared thermometer model A200 is a non-contact infrared thermometer intended for the intermittent measurement of human body temperature by Forehead mode for people of all ages.

The Infrared thermometer model A201 is a multi-function infrared thermometer intended for the intermittent measurement of human body temperature by Ear mode or Forehead mode for people of all ages.

8. Summary of technological characteristics of device compared to the predicate devices, see the table1 and table2

A comparison of key similarities and differences between the subject devices (Model A200 and Model A201) and the predicate devices (K121428 and K162083) is provided below.

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Image /page/2/Picture/0 description: The image shows the logo for AEON Technology. The logo consists of a green circular emblem with a white triangle inside, followed by the word "aeon" in blue, stylized font. Below "aeon" is the word "TECHNOLOGY" in smaller, blue, block letters.

Table 1
SE ComparisonsSubject device(SD) A200Predicate device(PD) Rdiant THBOFNote
510K numberPresent applicationK121428--
Regulation number21 CFR 880.291021 CFR 880.2910Same
Product codeFLLFLLSame
Intended Use&Indications for useThe Infrared thermometer model A200 is a non-contact infrared thermometer intended for the intermittent measurement of human body temperature by Forehead mode for people of all ages.The Non-contact Clinical Thermometer, Model THBOF is an infrared thermometer intended for the intermittent measurement of human body temperature in people of all ages.Same
Measurement MethodInfrared radiation detectionInfrared radiation detectionSame
Measurement RangeForehead mode:32.0°C ~42.9°C(89.6 to 109.22 ° F)Surface mode:0°C ~99.9°C(32 ~210.2°F)Forehead mode:34.0°C ~42.2°C(93.2°F ~108.0°F)Surface mode:-22°C ~80°C(-7.6°F ~176°F)Similar
AccuracyForehead mode:$\pm$ 0.2°C (0.4°F) within36.0°C ~39.0°C(96.8°F ~102.2°F),$\pm$ 0.3°C(0.5°F) other rangeSurface mode:$\pm$ 2% of readingor $\pm$ 1°C ( $\pm$ 1.8°F)whichever is greaterForehead mode:$\pm$ 0.2°C (0.4°F) within3639°C(96.8102°F),$\pm$ 0.3°C(0.5°F) other rangeSurface mode:$\pm$ 4% of readingor $\pm$ 2°C ( $\pm$ 4°F)whichever is greaterSimilar
Display0.1°C(0.1°F)0.1°C(0.1°F)Same
Measurementdistance≤3cm2-3cmSimilar
MeasurementplaceForeheadSurfaceForeheadSurfaceSame
Response time1S1SSame
Sensor typeThermopileThermopileSame
Scale Selection°C /°F°C /°FSame
Memory25 sets60setsSimilar
BuzzerYesYesSame
Auto power-offwhile nooperationYesYesSame
Power supply2 X 1.5V AAA2 x AAASame
Display screenLCDLCDSame
ContactmaterialsABSABSSame
OperationEnvironment10~40°C(50°F104 °F)RH 1595%10~40°C(50°F~104 °F)15-85% RHSimilar
StorageEnvironment-25 ~ +55°C (-13~+131°F)RH:15~95%-20~ +55°C (-4~+131°F)RH≤90%Similar
Dimension1704753mm180.347.529.2mm---
Weight75g104.7g---
ConformancestandardISO80601-2-56(performance),EN60601-1(Safety),IEC60601-1-2(EMC)ASTM F1965-98ISO80601-2-56(performance),EN60601-1(Safety),IEC60601-1-2(EMC)ASTM F1965-98Same

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Image /page/3/Picture/0 description: The image contains the logo for AEON Technology. The logo consists of a green circular icon with a white triangle inside, followed by the text "AEON" in blue, block letters. Below "AEON" is the word "TECHNOLOGY" in smaller, blue block letters.

Tahle 2

Table 2
SE ComparisonsSubject device(SD)Predicate device(PD)Note
A201TH52Z
510K numberPresent applicationK162083--
Regulationnumber21 CFR 880.291021 CFR 880.2910Same
Product codeFLLFLLSame
Intended Use&Indications foruseThe Infraredthermometer modelA201 is a multi-The RII Multi-functionInfraredThermometer, ModelSame
function infraredthermometerintended for theintermittentmeasurement ofhuman bodytemperature by Earmode or Foreheadmode for people ofall ages.TH52Z is intended forthe intermittentmeasurement ofhuman bodytemperatures. Thedevice is intended forthe use at home bypeople of all agesincluding neonatesand it can be selectedEar mode or Foreheadmode.
MeasurementMethodInfrared radiationdetectionInfrared radiationdetectionSame
MeasurementRangeEar mode: 35.0 °Cto 42.9°C (95~109.3°F)Forehead mode:32.0 °C to 42.9°C(89.6~109.3°F)Ear / Forehead mode:93.2108°F(3442.2°C)Similar
Accuracy±0.4°F (0.2°C)within96.8102.2°F(3639°C),±0.5°F (0.3°C) forother range.±0.4°F (0.2°C) within95107.6°F(3542°C),±0.5°F (0.3°C) forother range.Similar
Displayresolution0.1°C(0.1°F)0.1°C(0.1°F)Same
Measurementdistance≤3cm≤1cmSimilar
MeasurementplaceForeheadEarForeheadEarSame
Response time1S1SSame
Sensor typeThermopileThermopileSame
Scale selection°C /°F°C /°FSame
Memory25 sets9setsSimilar
BuzzerYesYesSame
Auto power-offwhile nooperationYesYesSame
Power supply2 X 1.5V AAACR2032 *1Same
Display screenLCDLCDSame
ContactmaterialsABSABSSame
OperationEnvironment+5°C to +40 °C(41 °F to 104 °F),humidity: 15 to93% R.H.10~40°C(50°F~104 °F)15-85% RHSimilar
StorageEnvironment-25 °C to +70 °C (-13 °F to 158 °F),humidity: 15 to93 % R.H.-20~ +55°C (-4~+131°F)RH≤90%Similar
Dimension1704753mm146.438.354.8mm---
Weight65g63.3g---
ConformancestandardISO80601-2-56(performance),EN60601-1(Safety),IEC60601-1-2(EMC)ASTM E1965-98ISO80601-2-56(performance),EN60601-1(Safety),IEC60601-1-2(EMC)ASTM E1965-98Same

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Image /page/4/Picture/0 description: The image shows the logo for Aeon Technology. The logo consists of a green circular icon with a white triangle inside, followed by the word "aeon" in blue, with the word "TECHNOLOGY" in smaller blue letters underneath. The logo is simple and modern, with a focus on technology.

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Image /page/5/Picture/0 description: The image shows the logo for AEON Technology. The logo consists of a green circular shape with a white triangle inside, followed by the word "AEON" in blue, and the word "TECHNOLOGY" in smaller blue letters below it. The logo is simple and modern, and the colors are bright and eye-catching.

Analysis

From the comparison table1 and table2, the subject devices and predicate devices have the same Intended use & Indications for Use, Measurement place, Scale selection, Display screen, Auto power-off while no operation & Conformance standard. There are slightly differences between the devices and predicate devices as follows.

Difference clauseDiscussion
MeasurementRange& AccuracyBoth devices have different measurementrange, but they have the same accuracy and themeasurement range of subject devices meet therequirements of ISO80601-2-56.
MeasurementdistanceMeasurement distance of the subject devices isnot more than 3 cm, the predicate device's willbe in the range of 2-3 cm. But the performancetest result of A200 & A201 shows the accuracymeets the requirements within the distancerange.

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Image /page/6/Picture/0 description: The image contains the logo for Aeon Technology. The logo consists of a green circular icon with a white triangle inside, followed by the word "aeon" in blue, with the word "TECHNOLOGY" in smaller blue letters underneath. The logo is simple and modern, with a focus on technology.

MemoryThe memory capacity of predicate devices inK121428 and K162083 is difference from subjectdevices, but that does not impact on the safetyand effectiveness of subject devices.
Operation& StorageEnvironmentBoth devices have slightly different Operation& Storage Environment, but the A200 & A201meets the requirements of ISO80601-2-56& IEC60601-1.

Performance Data

  • Compliance to applicable standards includes ISO80601-2-56, as well ● as IEC 60601-1, IEC 60601-1-2 and IEC60601-1-11 requirements.
  • Biocompatibility Evaluation for contacting patient components meets therequirements of ISO 10993-5 and ISO 10993-10.
  • According to the standard of AAMI TIR30: 2011,Effectiveness validation of cleaning method referenced in the User's Manual.
  • . Shelf life test result shows the subject device will be safe and effective using under the specified condition within 2 years.
  • And then the following performance is verified. -Measurement Range& Accuracy -Measurement distance -Response time

Clinical data

According to the ASTM E 1965-98, the clinical trial was performed for people of all ages. The test report shows clinical accuracy meets the range claimed by manufacturer. It can conclude that the subject devices, model A200 & A201, are acceptable to measure human body's temperature.

Conclusion

Based on performance testing and compliance with acceptable voluntary standards, we believe that the Infrared thermometers model A200 & A201 are substantially equivalent to its predicate devices in K121428 & K162083.

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Image /page/7/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the FDA logo is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

November 30, 2017

Shenzhen Aeon Technology Co., Ltd. % Mei Tan RA consultant Chonconn Medical Device Consulting Co., Ltd. 22A, HaiJing Square No.18 Taizi Road, Nanshan District Shenzhen, Guangdong, P.R. China, 51800

Re: K171578

Trade/Device Name: Infrared thermometer (Model A200 & A201) Regulation Number: 21 CFR 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: Class II Product Code: FLL Dated: October 19, 2017 Received: November 2, 2017

Dear Mei Tan:

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.

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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 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.

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.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

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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§ 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.