K Number
K183306
Device Name
GLUCOCARD® W onyx Blood Glucose Monitoring System
Date Cleared
2019-04-10

(133 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The GLUCOCARD® W onyx Blood Glucose Monitoring System is comprised of GLUCOCARD® W onyx Blood Glucose Meter and disposable GLUCOCARD® W Blood Glucose Test Strips. The GLUCOCARD® W onyx Blood Glucose Monitoring System is intended for use in the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertip or palm. Testing is done outside the body (in vitro diagnostic use). It is intended for use at home by persons with diabetes, as an aid in monitoring the effectiveness of a diabetes control program. The GLUCOCARD® W onyx Blood Glucose Monitoring System is intended to be used by a single person and should not be shared. This system is not for use in diagnosis or screening of diabetes mellitus, nor for neonatal use. Alternative site testing should be done only during steady-state times (when glucose is not changing rapidly).
Device Description
The GLUCOCARD® W onyx Blood Glucose Monitoring System is designed to quantitatively determine glucose concentrations in fresh capillary whole blood samples. The GLUCOCARD® W onyx Blood Glucose Monitoring System consists of a battery-powered GLUCOCARD® W onyx Blood Glucose Meter, disposable GLUCOCARD® W Blood Glucose Test Strips and Assure® Control-Control Solution (Levels 1, 2, and 3). The GLUCOCARD® W onyx Blood Glucose Monitoring System utilizes biosensor technology for the quantitative determination of glucose concentrations in capillary blood samples. Although capillary blood samples are used for measurement, the results displayed on the GLUCOCARD® W onyx Blood Glucose Monitoring System are equivalent to plasma glucose levels. The biosensor (GLUCOCARD® W Blood Glucose Test Strips) operates on the electrochemical detection of the reaction of glucose with the enzyme glucose oxidase. Glucose in the blood reacts with the reagent in the test strip, and this produces a small electric current. The strength of this current is proportional to the concentration of glucose in the blood. The meter measures this current and calculates the glucose level in the blood.
More Information

Not Found

No
The description details a standard electrochemical biosensor technology for glucose measurement, with no mention of AI or ML algorithms for data processing, interpretation, or prediction.

No
The device is described as an "aid in monitoring the effectiveness of a diabetes control program" and "not for use in diagnosis or screening of diabetes mellitus." It measures glucose levels, which is a diagnostic/monitoring function, not a therapeutic one (i.e., it doesn't treat the condition).

No

The "Intended Use / Indications for Use" section explicitly states, "This system is not for use in diagnosis or screening of diabetes mellitus". It is intended for monitoring purposes by individuals already diagnosed with diabetes.

No

The device description explicitly states that the system is comprised of a "GLUCOCARD® W onyx Blood Glucose Meter" and "disposable GLUCOCARD® W Blood Glucose Test Strips," which are hardware components.

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

The intended use statement explicitly states: "Testing is done outside the body (in vitro diagnostic use)."

Furthermore, the device description details how it measures glucose in blood samples using biosensor technology, which is a common method for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The GLUCOCARD® W onyx Blood Glucose Monitoring System is comprised of GLUCOCARD® W onyx Blood Glucose Meter and disposable GLUCOCARD® W Blood Glucose Test Strips.

The GLUCOCARD® W onyx Blood Glucose Monitoring System is intended for use in the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertip or palm. Testing is done outside the body (in vitro diagnostic use). It is intended for use at home by persons with diabetes, as an aid in monitoring the effectiveness of a diabetes control program.

The GLUCOCARD® W onyx Blood Glucose Monitoring System is intended to be used by a single person and should not be shared. This system is not for use in diagnosis or screening of diabetes mellitus, nor for neonatal use. Alternative site testing should be done only during steady-state times (when glucose is not changing rapidly).

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

NBW

Device Description

The GLUCOCARD® W onyx Blood Glucose Monitoring System is designed to quantitatively determine glucose concentrations in fresh capillary whole blood samples. The GLUCOCARD® W onyx Blood Glucose Monitoring System consists of a battery-powered GLUCOCARD® W onyx Blood Glucose Meter, disposable GLUCOCARD® W Blood Glucose Test Strips and Assure® Control-Control Solution (Levels 1, 2, and 3). The GLUCOCARD® W onyx Blood Glucose Monitoring System utilizes biosensor technology for the quantitative determination of glucose concentrations in capillary blood samples. Although capillary blood samples are used for measurement, the results displayed on the GLUCOCARD® W onyx Blood Glucose Monitoring System are equivalent to plasma glucose levels. The biosensor (GLUCOCARD® W Blood Glucose Test Strips) operates on the electrochemical detection of the reaction of glucose with the enzyme glucose oxidase. Glucose in the blood reacts with the reagent in the test strip, and this produces a small electric current. The strength of this current is proportional to the concentration of glucose in the blood. The meter measures this current and calculates the glucose level in the blood.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingertip or palm

Indicated Patient Age Range

Not Found

Intended User / Care Setting

at home by persons with diabetes

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)

Not Found

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.

K170064

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 862.1345 Glucose test system.

(a)
Identification. A glucose test system is a device intended to measure glucose quantitatively in blood and other body fluids. Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolism disorders including diabetes mellitus, neonatal hypoglycemia, and idiopathic hypoglycemia, and of pancreatic islet cell carcinoma.(b)
Classification. Class II (special controls). The device, when it is solely intended for use as a drink to test glucose tolerance, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

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510(k) Summary: K183306 GLUCOCARD® W onyx Blood Glucose Monitoring System

1. Administrative Information

| Applicant's Name
and Address | ARKRAY Factory, Inc.
1480 Koji, Konan-cho
Koka-shi, Shiga 520-3306 Japan
Establishment Registration # 3003422726 |
|---------------------------------|---------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Dhwani Thakkar
Associate Regulatory Affairs Project Manager |
| Phone | 952-746-2646 |
| Email | thakkard@arkrayusa.com |
| Date Prepared | January 31, 2019 |

2. Device Information

| Trade Name | GLUCOCARD® W onyx Blood Glucose Monitoring
System |
|--------------------------|------------------------------------------------------|
| Classification Name | System, Test, Blood Glucose, Over The Counter |
| Common Name | Blood Glucose Monitoring System |
| Product Code | NBW |
| Classification Panel | 75 – Clinical Chemistry |
| Device
Classification | 21 CFR § 862.1345 |

3. Predicate Device Information

| Predicate Device Name | Predicate Device
510(k) Number |
|------------------------------------------------------|-----------------------------------|
| GLUCOCARD® W Blood Glucose Monitoring System | K170064 |
| Including GLUCOCARD® W Blood Glucose Test Strips and | |
| Assure® Control—Control Solutions | |

4. Device Description

The GLUCOCARD® W onyx Blood Glucose Monitoring System is designed to quantitatively determine glucose concentrations in fresh capillary whole blood samples. The

1

Image /page/1/Picture/1 description: The image features the word "arkray" in a rounded rectangular box. The text is in a sans-serif font and appears to be a light gray color. The background is white, providing a clean and simple contrast.

GLUCOCARD® W onyx Blood Glucose Monitoring System consists of a battery-powered GLUCOCARD® W onyx Blood Glucose Meter, disposable GLUCOCARD® W Blood Glucose Test Strips and Assure® Control-Control Solution (Levels 1, 2, and 3). The GLUCOCARD® W onyx Blood Glucose Monitoring System utilizes biosensor technology for the quantitative determination of glucose concentrations in capillary blood samples. Although capillary blood samples are used for measurement, the results displayed on the GLUCOCARD® W onyx Blood Glucose Monitoring System are equivalent to plasma glucose levels.

The biosensor (GLUCOCARD® W Blood Glucose Test Strips) operates on the electrochemical detection of the reaction of glucose with the enzyme glucose oxidase.

Glucose in the blood reacts with the reagent in the test strip, and this produces a small electric current. The strength of this current is proportional to the concentration of glucose in the blood. The meter measures this current and calculates the glucose level in the blood.

4.1 Device Features

The GLUCOCARD® W onyx Blood Glucose Monitoring System has the following device features.

  • . Data Transmission: Device has the capability to communicate with an external PC using a commercially available USB cable or the added capability to communicate with mobile devices via Bluetooth wireless technology.
  • . Enhanced Robustness and Ease of Use: Features such as the below are incorporated to enhance robustness and also for ease of use
    • a) Auto coding function: Reads information recorded in the sensor and automatically corrects sensor sensitivity per manufacturing lot.
    • b) Temperature correction function: Reads ambient temperature and corrects impact of temperature on measurement results.
    • c) Hematocrit correction function: Obtains hematocrit value from calibration curve for peak top and hematocrit values to correct hematocrit impact on measurement results.
    • d) Sample auto detection function: Automatically detects if a sample is whole blood or control solution.
    • e) Sensor insertion/detection function: Detects sensor insertion automatically and turns the power on.
    • f) Sensor removal detection function: Automatically detects sensor removal and turns the power off.

2

Image /page/2/Picture/1 description: The image shows the word "arkray" in a simple, sans-serif font. The letters are gray and appear to be enclosed in a rounded rectangle. The overall design is clean and minimalist.

  • g) Flag setting function: Users can manually set flags to measurement results to help categorize and identify results.
  • h) Davlight Savings Time feature. Users can set the meter clock to automatically change the time to Daylight Savings Time as desired.

5. Indications for Use

The GLUCOCARD® W onyx Blood Glucose Monitoring System is comprised of GLUCOCARD® W onyx Blood Glucose Meter and disposable GLUCOCARD® W Blood Glucose Test Strips.

The GLUCOCARD® W onyx Blood Glucose Monitoring System is intended for use in the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertip or palm. Testing is done outside the body (in vitro diagnostic use). It is intended for use at home by persons with diabetes, as an aid in monitoring the effectiveness of a diabetes control program.

The GLUCOCARD® W onyx Blood Glucose Monitoring System is intended to be used by a single person and should not be shared. This system is not for use in diagnosis or screening of diabetes mellitus, nor for neonatal use. Alternative site testing should be done only during steady-state times (when glucose is not changing rapidly).

6. Substantial Equivalence Information

The GLUCOCARD® W onyx Blood Glucose Monitoring System is substantially equivalent to the GLUCOCARD® W Blood Glucose Monitoring System. Below is a table that provides a comparison between the GLUCOCARD® W onyx Blood Glucose Monitoring System and its predicate device.

| COMPONENT/

CHARACTERISTICPREDICATEPROPOSEDCOMPARISON
Blood Glucose Monitoring System
510(k) NumberK170064K183306N/A
COMPONENT/
CHARACTERISTICPREDICATEPROPOSEDCOMPARISON
Monitoring SystemGLUCOCARD® W
Blood Glucose
Monitoring SystemGLUCOCARD® W
onyx Blood Glucose
Monitoring SystemN/A
Same except
Blood Glucose
Intended Use and
Indications for UseThe GLUCOCARD® W
Blood Glucose
Monitoring System is
comprised of
GLUCOCARD® W
Blood Glucose Meter,
GLUCOCARD® W
Blood Glucose Test
Strips and Assure®
Control—Control
Solution.
The GLUCOCARD® W
Blood Glucose
Monitoring System is
intended for use in the
quantitative
measurement of glucose
in fresh capillary whole
blood samples drawn
from the fingertip or
palm. Testing is done
outside the body (in
vitro diagnostic use). It
is intended for use at
home by persons with
diabetes, as an aid in
monitoring the
effectiveness of a
diabetes control
program.The GLUCOCARD®
W onyx Blood
Glucose Monitoring
System is comprised
of GLUCOCARD® W
onyx Blood Glucose
Meter and
GLUCOCARD® W
Blood Glucose Test
Strips.
The GLUCOCARD®
W onyx Blood
Glucose Monitoring
System is intended for
use in the quantitative
measurement of
glucose in fresh
capillary whole blood
samples drawn from
the fingertip or palm.
Testing is done
outside the body (in
vitro diagnostic use).
It is intended for use at
home by persons with
diabetes, as an aid in
monitoring the
effectiveness of a
diabetes control
program.
The GLUCOCARD®
W onyx Blood
Glucose Monitoring
System is intended to
be used by a single
person and should notMeter and
System trade
names were
updated
COMPONENT/
CHARACTERISTICPREDICATEPROPOSEDCOMPARISON
The GLUCOCARD® W
Blood Glucose
Monitoring System is
intended to be used by a
single person and should
not be shared. This
system is not for use in
diagnosis or screening
of diabetes mellitus, nor
for neonatal use.
Alternative site testing
should be done only
during steady-state times
(when glucose is not
changing rapidly).be shared. This system
is not for use in
diagnosis or screening
of diabetes mellitus,
nor for neonatal use.
Alternative site testing
should be done only
during steady-state
times (when glucose is
not changing rapidly).
Measurement MethodAmperometricAmperometricSame
Result Range20 to 600 mg/dL20 to 600 mg/dLSame
Sample TypeFresh Capillary Whole
Blood*Fresh Capillary Whole
Blood*Same
Calibration ReferencePlasma referencedPlasma referencedSame
Sample ApplicationApply blood to end,
capillary fillApply blood to end,
capillary fillSame
Blood SourceFingertip, palmFingertip, palmSame
Calibration CurveAutomatic coded
calibrationAutomatic coded
calibrationSame
Operating
Temperature
Range46°F to 104°F
8°C to 40°C46°F to 104°F
8°C to 40°CSame
Temperature
CompensationAutomatic
compensation using
built-in thermosensorAutomatic
compensation using
built-in thermosensorSame
Operating Humidity
Range10% to 90% Relative
Humidity
(No condensation)10% to 90% Relative
Humidity
(No condensation)Same
Maximum Altitude10,335 ft. (3,150 m)10,335 ft. (3,150 m)Same
COMPONENT/
CHARACTERISTICPREDICATEPROPOSEDCOMPARISON
Hematocrit Range20-70%20-70%Same
Hematocrit Correction
FunctionYesYesSame
Communication
FunctionMicro USB PortMicro USB Port
Wireless
communication
function using
Bluetooth 4.0Same for USB
Port
communication
Addition of
wireless
communication
function to
enable sending
results to mobile
devices
Memory Capacity500 Test Results500 Test ResultsSame
Minimum Sample
Volume0.5 µL0.5 µLSame
Test Time7 Seconds7 SecondsSame
Power OnInsert Test Strip into
MeterInsert Test Strip into
MeterSame
Auto Power OffTwo Minutes after Last
User
Operation (Five Minutes
when
Waiting for Blood
Application)Two Minutes after
Last User
Operation (Five
Minutes when
Waiting for Blood
Application)Same
Sample Auto
Detection
FunctionAutomatically Detects if
a Sample is
Whole Blood or Control
SolutionAutomatically Detects
if a Sample is
Whole Blood or
Control SolutionSame
Average Calculations7, 14, 30, 60, 90 days7, 14, 30, 60, 90 daysSame
Pre-set flag for Low or
High Blood SugarYes – Hi and Lo flags
set at >600 mg/dL and 600 mg/dL and
Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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