K Number
K171785
Date Cleared
2017-09-15

(92 days)

Product Code
Regulation Number
862.1345
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) consists of the WowGoHealth Blood Glucose Monitor and the WowGoHealth Blood Glucose Test Strip. The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood drawn from the fingertips or forearm. The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended to be used by a single person and should not be shared.

The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid in monitoring the effectiveness of a diabetes control program.

The Wow GoHealth Blood Glucose Monitoring System (Model GSH-BGM902) should not be used for the diagnosis of or screening of diabetes or for neonatal use. Alternative site testing should be done only during steady state times (when glucose is not changing rapidly).

Device Description

The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is a product kit consisting of a blood glucose meter (meter), test strips, a lancing device, lancets, and instructions for use. Control solution Level 1, Level 2 or 3 are available and sold separately. When glucose reacts with the reagents on the test strips, an electrical current is produced. The current is proportional to the glucose concentration in the blood sample. The meter will calculate glucose concentration based on the current measured. The device can show results either in "mg/dL" or "mmol/L". The factory set default for the meter is mg/dL. Apart from the existing measurement features and user interface of the device's predicate, the device is featured with Bluetooth mediated data transmission functionality which wirelessly transfers the latest test result to an APP run on a mobile device every time when a test is performed successfully.

AI/ML Overview

The provided document is a 510(k) premarket notification for the WowGoHealth Blood Glucose Monitoring System, Model GSH-BGM902. It describes the device, its intended use, and compares it to a predicate device. The document primarily focuses on demonstrating substantial equivalence through technical characteristics and a summary of design control activities/testing, rather than providing detailed clinical study results to prove specific performance acceptance criteria for the entire device.

This document describes a "Special 510(k)" submission, which is for minor modifications to a previously cleared device. As such, detailed clinical performance studies, such as those that would typically establish the initial performance criteria and prove their met, are generally not included in these types of submissions, since the fundamental technological characteristics are considered largely unchanged. The focus is on demonstrating that the modifications do not adversely affect safety or effectiveness.

Therefore, much of the requested information regarding acceptance criteria and a study to prove the device meets the acceptance criteria (especially clinical performance data for accuracy against a reference method) is not present in the provided text. The document refers to "similar acceptance criteria" to the predicate, implying that the predicate's performance has already been established.

However, I can extract information related to the modifications and their verification:

1. A table of acceptance criteria and the reported device performance

The document does not provide a specific table of acceptance criteria for overall device performance (e.g., accuracy against a lab reference method for glucose measurement), nor detailed reported device performance for these parameters. It focuses on the equivalence to the predicate.

For the modifications, the acceptance criteria are implicitly that the new features function as intended and do not introduce unacceptable risks. The document states:

  • "The analyses revealed that the modifications required similar V&V testing to the predicate SuperCheck Plus device, with similar acceptance criteria, as testing revealed no significant additional risk from the modifications."
  • "Testing was performed to establish that design outputs met pre-established design inputs as per design specifications (verification), specifically for the Bluetooth mediated data transmission functionality feature."
  • "Design validation ensured that the design meets user needs, and validation activities were conducted as necessary (per 21 CFR820.30)."

The "reported device performance" for the new features is described by their functionality:

  • Reposition of the control test flag ("cotr"): This is a visual change on the meter display. The "performance" is that it displays "cotr" instead of "C". (Fig. 3)
  • Bluetooth mediated data transmission functionality: The meter "has the capability to wirelessly transfer the latest test result to an APP run on a mobile device every time when a test is performed successfully." If data transmission fails, the user can manually enter it. During transmission, "bLE" and test time flash alternately. (Fig. 4)
  • Change of meter's housing color: The quality of housing materials is unchanged, only the color from black to white. (Fig. 5)

2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

The document does not specify general "sample sizes" for a clinical test set in the way one might expect for a de novo submission establishing accuracy. It mentions specific testing related to the modifications:

  • Usability study on Bluetooth functionality: A usability study was conducted, but the sample size is not stated.
  • Bench study on robustness to cleaning/disinfection: This study was conducted, but the sample size (number of devices/test cycles) is not stated.
  • Safety and reliability testing, EMC testing, and FCC testing: These were performed by "qualified outsourced labs" using "protocols following applicable CDRH guidelines and related standards." No sample sizes or data provenance (country, retrospective/prospective) are specified for these.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience)

This information is not provided. The document does not describe the establishment of ground truth for glucose measurements, as this would typically be established for the foundational technology (the predicate device) or within an accuracy study, which is not detailed here.

4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

Not applicable. This document does not describe a clinical study that would require adjudication of expert readings or similar methods.

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

Not applicable. This device is a blood glucose monitoring system, not an AI-assisted diagnostic imaging device.

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

This refers to the performance of the device itself. The document implicitly relies on the performance of the predicate device for the core glucose measurement accuracy, stating that the "fundamental scientific technology... remains unchanged." Specific standalone accuracy results for this modified device are not provided in the scope of this Special 510(k).

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

The document does not explicitly state the type of ground truth used for performance validation of the core glucose measurement, as this would have been established for the predicate device (K141351). For blood glucose meters, ground truth is typically established by laboratory reference methods (e.g., YSI analyzer) with traceable standards. For the modifications, the "ground truth" for the Bluetooth functionality is whether data is successfully transmitted and displayed, and for robustness, whether the device withstands cleaning/disinfection.

8. The sample size for the training set

Not applicable. This is not an AI/ML device that requires a training set in the typical sense.

9. How the ground truth for the training set was established

Not applicable.

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features the department's name encircling a symbol. The symbol is a stylized representation of three human profiles facing right, stacked on top of each other, with flowing lines extending from the bottom profile.

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

September 15, 2017

BIOTEST MEDICAL CORPORATION FRED LEE ENGINEERING/REGULATORY MANAGER NO. 3-2, CHIEN-KUO RD. TEPZ TANTZU DIST. TAICHUNG 42760 TW

Re: K171785

Trade/Device Name: WowGoHealth Blood Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose test system Regulatory Class: II Product Code: NBW Dated: August 16, 2017 Received: August 18, 2017

Dear Fred Lee:

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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Kellie B. Kelm -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) K171785

Device Name

WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902)

Indications for Use (Describe)

WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902)

The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) consists of the WowGoHealth Blood Glucose Monitor and the WowGoHealth Blood Glucose Test Strip. The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood drawn from the fingertips or forearm. The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended to be used by a single person and should not be shared.

The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid in monitoring the effectiveness of a diabetes control program.

The Wow GoHealth Blood Glucose Monitoring System (Model GSH-BGM902) should not be used for the diagnosis of or screening of diabetes or for neonatal use. Alternative site testing should be done only during steady state times (when glucose is not changing rapidly).

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

510K # (K171785)

Date Prepared:

September 13, 2017

510(k) Type:

Special (Device Modification)

Submitter Information: 21 CFR 807.92(a)(1)

Establishment Name: Biotest Medical Corporation Contact Person: Fred Lee Address: No. 3-2, Chien-kuo Rd., TEPZ Tantzu dist., Taichung, Taiwan, 42760, TW Phone: 886-4-25326668 Ext: 413 Fax: 886-4-25326593 E-mail: leesc311@mail.biotestsystems.com

Device Name: 21 CFR 807.92(a)(2)

Trade/Device Name: WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) Regulation Number: 862.1345 Regulation Name: Glucose test system Regulatory Class: II Product code: NBW, Over-the Counter

Predicate Device: 21 CFR 807.92(a)(3)

Device Classification NameSystem, Test, Blood Glucose, Over The Counter
510(K) NumberK141351
Device NameSuperCheck Plus Blood Glucose Monitoring System (Model 5228-S)
Regulation Number862.1345
Classification Product CodeNBW
Date Received05/22/2014
Decision Date05/19/2015
DecisionSubstantially Equivalent (SESE)
Regulation Medical SpecialtyClinical Chemistry
510k Review PanelClinical Chemistry
TypeTraditional
Combination ProductNo

Device Description: 21 CFR 807.92(a)(4)

√ General device description:

  • Physical components of the system
    The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is a product kit consisting of a blood glucose meter (meter), test strips, a lancing device, lancets, and

{4}------------------------------------------------

instructions for use. Control solution Level 1, Level 2 or 3 are available and sold separately. Fig. 1 provides an image of the device, showing the front front/side angle and the back of the device and with the meter's components annotated.

Image /page/4/Figure/1 description: The image shows the appearance and button functions of a meter. The meter has a display screen labeled as (2), and there are buttons labeled as (3) and (4). The image also shows the battery compartment labeled as (5) and the meter's casing labeled as (6).

    1. Test strip slot When the strip is inserted into the slot, the meter will automatically turn on.
    1. LCD Display Guide you through the test using symbols and simple messages.
    1. M Button Power ON/OFF, also for memory recalling mode. Refer to manual for detailed function description.
  • 4.C Button Setting mode, please refer to manual for detailed function description.
  • 5.Battery Compartment Where batteries are located.
  • 6.Ejector Remove used strip

Fig. 1 WowGoHealth, Model GSH-BGM902 with its components annotated

  • Test principle
    When glucose reacts with the reagents on the test strips, an electrical current is produced. The current is proportional to the glucose concentration in the blood sample. The meter will calculate glucose concentration based on the current measured.

  • Format of results
    The device can show results either in "mg/dL" or "mmol/L". The factory set default for the meter is mg/dL.

  • Composition and levels of control material
    The control solution is made up of D-glucose, Viscosity Modifier, and Preservatives. Control solution Level 1, Level 2 or 3 are available and sold separately.

  • User maintenance needs The device is recommended to be stored in its case, in a clean dry place at 35.6 to 86 F

{5}------------------------------------------------

(2 to 30℃).

Replacing the battery will not reset the stored testing results; however users need to reset the device's date and time after installing or replacing the batteries.

  • Features of device
    Apart from the existing measurement features and user interface of the device's predicate, the device is featured with Bluetooth mediated data transmission functionality which wirelessly transfers the latest test result to an APP run on a mobile device every time when a test is performed successfully. In this operational scenario, the user needs to install an APP to his/her mobile device to receive the test result transmitted from the meter; in case the data transmission fails, user can still manually enter the test result to the APP. The meter does not play any message during the data transmission, but user can check the APP on his/her mobile device to confirm if the test result is received. The meter still keeps the test results in the memory after transmitting.

  • Features designed to minimize the risk of bloodborne pathogen transmission among patients
    Users are recommended to clean and disinfect the meter and lancing device at least once per week following the Cleaning and Disinfections in device's user guide to prevent the spread of infectious diseases. Clorox® Bleach Germicidal Wipes (EPA Reg. No. 67619-12) have been shown to be safe for use with the meter and lancing device and that these wipe should be used for both cleaning and disinfection.

√ Device features controlled by the software:

  • Displays and user messages Refer to Fig. 2 for details.

{6}------------------------------------------------

Meter Display

Image /page/6/Figure/29 description: The image shows a diagram of a blood glucose meter display with labels pointing to different parts of the screen. The labels indicate the functions and symbols displayed on the meter, such as measurement units, memory, setting, blood drop icon, battery symbol, day average, alarm, month, day, hour, and minute. The display also shows a control test indicator.

1.Appears with the test result either in mg/dL or in mmol/L.

2.Appears when you recall the memory.

3.Appears when you are in start up mode or setting mode.

4.Appears for control solution test flag.

5.Indicates the meter is ready to take the blood sample when it flashes.

6.Indicates the battery status.

7.Indicates current displayed result is an average.

8.Appears when alarm is on.

9.Month

10.Day

11.Hour

12.Minute

Meter's Displays and user messages Fig. 2

● Error messages

The meter is featured with the following error messages for users to understand the device's status so as to take appropriate measures.

  • E 1: The temperature is too low.
  • E 2: The temperature is too high.

E 3: Battery Low.

  • E 4: Memory damaged.
  • E 5: The strip is wet or used.
  • E 6: Error in meter or strip.
  • E_7: The blood sample is not sufficient.
  • HI: The glucose level is too high.
  • LO: The glucose level is too low.
  • User prompts

{7}------------------------------------------------

To perform a test, a glucose test strip is inserted into the top of the meter (meter). When a small drop of blood is applied to the end of the test strip, glucose reacts with the reagents on the test strips, producing an electrical current that is proportional to the blood glucose concentration in the blood sample. The blood glucose concentration is calculated by the glucose meter and is based on the electrical current measured. The quantitative glucose concentration (in mg/dL or mmol/L) is displayed on the meter's LCD screen.

  • Alarms and other feed back
    The meter is featured with an alarm clock which can be used as a reminder to users for time to measure his/her blood glucose.

✓ Modified Device and Comparison:

The test strips, control solutions, lancing device, and lancets are identical to previously cleared devices. The fundamental scientific technology of the WowGoHealth, Model GSH-BGM902 remains unchanged from the legally marketed predicate device, SuperCheck Plus, Model 5228-S (K141351).

For the proposed WowGoHealth, Model GSH-BGM902 device, the modifications from the cleared SuperCheck Plus, Model 5228-S (K141351), are minor and include the following:

  • Reposition of the control test flag ("cotr") on meter display (see Fig.2)
    This original control test flag ("C") was displayed via a 7-segment font to the right of the three large 7-segment fonts for glucose reading display. This difference is concretely illustrated in Fig.3.

Image /page/7/Figure/8 description: The image shows two different blood glucose meters. The meter on the left is a WowGoHealth meter, and the meter on the right is a SuperCheck Plus meter. Both meters display the mg/dL unit, a blood drop symbol, and a battery symbol. The WowGoHealth meter displays the text "cotr", while the SuperCheck Plus meter displays the number "0".

Fig.3. Meter display while performing the control test

  • Bluetooth mediated data transmission functionality to replace the original RS232 cable Owing to the meter 's Bluetooth mediated data transmission functionality supporting Bluetooth 4.0 and BLP, the WowGoHealth, Model GSH-BGM902 has the capability to wirelessly transfer the latest test result to an APP run on a mobile device every time when a test is performed successfully. In this operational scenario, the user needs to install an APP to his/her mobile device to receive the test result transmitted from the

{8}------------------------------------------------

meter; in case the data transmission fails, user can still manually enter the test result to the APP. During the wireless data transmission, the "bLE" and test time on meter's display would flash alternately (see Fig. 4). The meter does not play any message during the data transmission, but user can check the APP on his/her mobile device to confirm if the test result is received. The meter still keeps the test results in the meter.

Image /page/8/Picture/1 description: The image shows a digital display, likely from a medical device, indicating a blood glucose level of 105 mg/dL. The display also shows the date as 6-01 and the letters BLE, possibly indicating a Bluetooth connection. A battery icon is visible, suggesting the device's power level. The display uses a segmented font, common in digital displays.

Fig. 4 "bLE" and test time on meter's display flash alternately during data transmission

  • Change of meter's housing color
    The quality of meter's housing materials remains unchanged except the color is changed from black to white.

Image /page/8/Picture/5 description: The image shows a blood glucose meter displaying a reading of 108 mg/dL. The meter also shows the date as 11-18 and the time as 11:38. A battery icon is visible on the screen, indicating the battery level. The device has a white casing with a black display area.

Fig. 5 Meter's physical appearance/WowGoHealth, Model GSH-BGM902

  • User Manual Modifications
    Minor modifications to the WowGoHealth, Model GSH-BGM902 User Manual have been made to accommodate changes from the predicate device and facilitate use of the device. These changes are detailed in submitted labeling of this application, and the intended use of the WowGoHealth, Model GSH-BGM902 has not changed as a result of these modifications.

{9}------------------------------------------------

Intended Use/Indications for use: 21 CFR 807.92(a)(5)

WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902)

The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) consists of the WowGoHealth Blood Glucose Monitor and the WowGoHealth Blood Glucose Test Strip. The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood drawn from the fingertips or forearm. The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended to be used by a single person and should not be shared.

The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid in Monitoring the effectiveness of a diabetes control program.

The WowGoHealth Blood Glucose Monitoring System (Model GSH-BGM902) should not be used for the diagnosis of or screening of diabetes or for neonatal use. Alternative site testing should be done only during steady state times (when glucose is not changing rapidly).

Technical characteristics against the predicate: 21 CFR 807.92(a)(6)

Table 1 provides a side-by-side comparison of descriptive characteristics for the WowGoHealth, Model GSH-BGM902 and its legally marketed predicated device, the SuperCheck Plus, Model 5228-S (K141351).

ItemPredicate deviceProposed Devices
SuperCheck Plus ,Model 5228-S(K141351)WowGoHealth,Model GSH-BGM902
Similarity
Intended useThe SuperCheck Plus Blood Glucose MonitoringSystem (Model 5228-S) is intended to be usedfor the quantitative measurement of glucose infresh capillary whole blood drawn from thefingertips or forearm. The SuperCheck BloodGlucose Monitoring System (Model 5228-S) isintended to be used by a single person andshould not be shared.The SuperCheck Plus Blood Glucose MonitoringSystem (Model 5228-S) is intended for self-testing outside the body (in vitro diagnosticuse) by people with diabetes at home as an aidin Monitoring the effectiveness of a diabetescontrol program.The SuperCheck Plus Blood Glucose MonitoringSystem (Model 5228-S) should not be used forthe diagnosis of or screening of diabetes or forSame as predicate
neonatal use. Alternative site testing should bedone only during steady state times (whenglucose is not changing rapidly).The SuperCheck Plus Test Strips are for use withthe SuperCheck Plus Blood Glucose Meter toquantitatively measure glucose in fresh capillarywhole blood drawn from the fingertips orforearm.The SuperCheck Plus Control Solutions are foruse with the SuperCheck Plus Blood GlucoseMonitoring System (Model 5228-S) as a qualitycontrol check to verify that the meter and teststrips are working together properly.
Over the Counter useYesSame as predicate
Test strip chemicalcomponents- FAD-Glucose Dehydrogenase (AspergillusOryzae) 9.1%- Potassium Ferricyanide 61.7%- Non-reactives 29.2%Same as predicate
Measurement principleAmperometric, FAD- glucose dehydrogenaseSame as predicate
Test range20~600mg/dLSame as predicate
Hematocrit20~60%Same as predicate
Operating conditions1040℃ (50104°F)20~80%RH(non-condensing)Same as predicate
Strip storage condition230℃ (35.686°F), below 80%RHSame as predicate
Test time5 secSame as predicate
Sample volume1.1 uLSame as predicate
Test sampleFinger, Forearm(AST site)Same as predicate
Memory feature500 measurementsSame as predicate
Day Average7-,14-,28-,60-,90-day average glucose resultSame as predicate
AlarmBeeping sound and/or error messages in LCDdisplaySame as predicate
Test strip calibrationNo code strip is needed. The meter and the teststrip should have the same reference numberprinted on the meter box and on the strip boxand vial. The meter also displays referencenumber when inserting the test strip.Same as predicate
Power supplyTwo AAA batteriesSame as predicate
Dimension100mm(L)*50mm(W)*20mm(H)Same as predicate
Difference
Control test flag"C""cotr"
Data download functionOptional; via RS232 cableBluetooth mediated datatransmission functionality; themeter has the capability towirelessly transfer the latest testresult to an APP run on a mobile
device every time when a test isperformed successfully and whilethe test trip is not removed fromthe meter.
Housing colorBlackWhite

TABLE 1 PREDICATE COMPARISON

{10}------------------------------------------------

{11}------------------------------------------------

Summary of design control activities/testing: 21 CFR 807.92(b)(1)

The WowGoHealth, Model GSH-BGM902 was developed and documented within Biotest Medical Corporation's design control procedures in compliance with 21 CFR 820.30, as with the cleared SuperCheck Plus, Model 5228-S (K141351). We believe that the modifications to the device did not necessitate any new requirements for review and testing above those of the predicate product for except the usability study on the modified device's Bluetooth mediated data transmission functionality and the required bench study on the modified device's robustness to the cleaning and disinfection procedure cleared in SuperCheck Plus, Model 5228-S (K141351) after multiple cleaning and disinfection cycles. In addition, the safety and reliability testing, EMC testing, and FCC testing were adequately executed in the qualified outsourced labs using the protocols following applicable CDRH guidelines and related standards.

The risk analysis and verification and validation activities conducted are described below.

✔ Risk Analysis:

The risk analysis was conducted in accordance with the most updated EN ISO 14971 standard, which specifies the process for identifying hazards, estimating and evaluating associated risks, controlling the risks, and Monitoring the effectives of the controls.

All the risks for the identified potential hazards caused by the proposed device modifications were identified and evaluated for severity and occurrence probability. Controls were identified and, where risks were deemed unacceptable, mitigations were identified and implemented. Verification and validation testing showed the risk control to be acceptable. None of the proposed modifications to the SuperCheck Plus, Model 5228-S (K141351) presented unacceptable risks or raised new issues regarding the safety and/or effectiveness of the device, evidenced by the device's risk management summary report.

√ Verification and Validation Activities:

Verification and Validation (V&V) activities were identified by assessment of their impact of the modifications, per the risk analysis in the device's risk management summary report. The analyses revealed that the modifications required similar V&V testing to the predicate SuperCheck Plus device, with similar acceptance criteria, as testing revealed no significant additional risk from the modifications. Testing was performed to establish that design outputs met pre-established design inputs as per design specifications (verification), specifically for the Bluetooth mediated data transmission functionality feature. Design validation ensured that the design meets user needs, and validation activities were

{12}------------------------------------------------

conducted as necessary (per 21 CFR820.30). The design change verification and validation activities for all the changes, including software-related changes are described in the Software V&V report in this submission. All the documents, including test reports, referenced are on file at Biotest Medical Corporation.

Conclusions: 21 CFR 807.92(b) (3)

The modified WowGoHealth, Model GSH-BGM902 has the same intended use and fundamental scientific technology as the previous version of the device, which received 510(k) clearance K141351).

Modifications to the cleared device include reposition of the control test flag ("cotr") on meter display, Bluetooth mediated data transmission functionality to replace the original RS232cable, and the meter's housing color change. The modifications maintain the integrity of the SuperCheck Plus, Model 5228-S (K141351) as described in the original clearance in terms of the intended use of the device (i.e., the quantitative measurement of glucose in capillary blood), and the fundamental scientific technology employed. For the reason outlined above, the WowGoHealth, Model GSH-BGM902 is eligible for Special 510(k) in accordance with the relevant FDA guidance.

Biotest Medical Corporation has conducted a risk analysis and has performed the necessary verification and validation activities to demonstrate that the design outputs of the modified device meet the design requirements.

In summary, the WowGoHealth, Model GSH-BGM902 described in this submission is substantially equivalent to the predicate device.

§ 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.