K Number
K201880
Device Name
MultiSure GK Link Blood Glucose and Ketone Monitoring System
Date Cleared
2021-10-15

(465 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MultiSure GK Link Blood Glucose and Ketone Monitoring System is comprised of the MultiSure GK Blood Glucose and Ketone Meter, the MultiSure GK Blood Glucose Test Strips, and the MultiSure GK Blood Ketone test strips. The MultiSure GK Link Blood Glucose and Ketone Monitoring System is intended to quantitatively measure blood glucose or blood ketone in fresh capillary whole blood drawn from fingertips. The system is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes mellitus at home as an aid in monitoring the effectiveness of diabetes control and should only be used by a single patient and it should not be shared. It is not intended for diagnosis or screening of diabetes or for neonatal use.
Device Description
The MultiSure GK Link Blood Glucose and Ketone Monitoring System consists of the MultiSure GK Link Blood Glucose and Ketone Meter, MultiSure GK Blood Glucose test strips, MultiSure GK Blood Ketone test strips, Contrex Plus 4 Glucose Control Solution (Level 1, Level 2 and Level 3), and KET-1 ketone control solution (Level 1 and Level 2). The system is for self-testing of blood glucose and blood ketone. The MultiSure GK Blood Glucose test strips, MultiSure GK Blood Ketone test strips, Contrex Plus 4 Glucose Control Solution, and KET-1 ketone control solution are purchased separately. MultiSure GK Link Blood Glucose and Ketone Monitoring System enables automatic transmission of stored data to a data management system using upload data via USB cable (optional), or mobile device with Bluetooth when the meter and data management systems are properly configured. The glucose test strips and glucose control solution utilized in the MultiSure GK Link Blood Glucose and Ketone Monitoring System are the same as the BGM009 glucose test strips and Contrex Plus 4 Glucose Control Solution, previously cleared in k170267; The ketone test strips and ketone control solution are the same as the KET-1 Blood Ketone test strips and KET-1 ketone control solution, previously cleared in k182593.
More Information

No
The summary describes a standard blood glucose and ketone monitoring system with data transmission capabilities. There is no mention of AI, ML, or any algorithms that would suggest their use in data analysis or interpretation beyond basic measurement and storage.

No.
This device is an in vitro diagnostic device used for monitoring blood glucose and ketone levels, which aids in managing diabetes but does not directly treat the condition.

No

The "Intended Use" section explicitly states, "It is not intended for diagnosis or screening of diabetes or for neonatal use."

No

The device description explicitly states that the system consists of a meter, test strips, and control solutions, in addition to the data transmission capabilities. This indicates the presence of hardware components beyond just software.

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

The "Intended Use / Indications for Use" section explicitly states:

"The system is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes mellitus at home..."

This statement clearly identifies the device as being used for diagnostic purposes outside of the body, which is the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

MultiSure GK Link Blood Glucose and Ketone Monitoring System is comprised of the MultiSure GK Blood Glucose and Ketone Meter, the MultiSure GK Blood Glucose Test Strips, and the MultiSure GK Blood Ketone test strips.

The MultiSure GK Link Blood Glucose and Ketone Monitoring System is intended to quantitatively measure blood glucose or blood ketone in fresh capillary whole blood drawn from fingertips. The system is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes mellitus at home as an aid in monitoring the effectiveness of diabetes control and should only be used by a single patient and it should not be shared. It is not intended for diagnosis or screening of diabetes or for neonatal use.

Product codes

NBW, JIN

Device Description

The MultiSure GK Link Blood Glucose and Ketone Monitoring System consists of the MultiSure GK Link Blood Glucose and Ketone Meter, MultiSure GK Blood Glucose test strips, MultiSure GK Blood Ketone test strips, Contrex Plus 4 Glucose Control Solution (Level 1, Level 2 and Level 3), and KET-1 ketone control solution (Level 1 and Level 2). The system is for self-testing of blood glucose and blood ketone. The MultiSure GK Blood Glucose test strips, MultiSure GK Blood Ketone test strips, Contrex Plus 4 Glucose Control Solution, and KET-1 ketone control solution are purchased separately.
MultiSure GK Link Blood Glucose and Ketone Monitoring System enables automatic transmission of stored data to a data management system using upload data via USB cable (optional), or mobile device with Bluetooth when the meter and data management systems are properly configured.
The glucose test strips and glucose control solution utilized in the MultiSure GK Link Blood Glucose and Ketone Monitoring System are the same as the BGM009 glucose test strips and Contrex Plus 4 Glucose Control Solution, previously cleared in K170267; The ketone test strips and ketone control solution are the same as the KET-1 Blood Ketone test strips and KET-1 ketone control solution, previously cleared in K182593.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Fingertips (fresh capillary whole blood)

Indicated Patient Age Range

Not intended for neonatal use.

Intended User / Care Setting

self-testing outside the body (in vitro diagnostic use) by people with diabetes mellitus at home.

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 Testing: Testing was conducted as follows: EMC and Electrical Safety, disinfection performance (robustness of meter to multiple cleanings and disinfections), software verification and validation including cybersecurity management, precision testing, repeatability testing, temperature and humidity testing, intermittent sampling testing, sample perturbation testing, stability and results demonstrate substantial equivalence to the predicate system.
Clinical Testing: Accuracy studies for glucose and ketone were conducted with home users, including evaluation of ease of use and ease of understanding of the user manual. Results demonstrate substantial equivalence to the predicate system.
Conclusion: Clinical and analytical testing demonstrated that the MultiSure GK Link Blood Glucose and Ketone Monitoring System perform in a substantially equivalent manner to that of the predicate. We conclude that the MultiSure GK Link Blood Glucose and Ketone Monitoring System is substantially equivalent to the predicate system.

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

Not Found

Predicate Device(s)

K091547

Reference Device(s)

K170267, K182593

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font.

October 15, 2021

Apex Biotechnology Corp. Lisa Liu Manager of Quality Assurance Division No. 7, Li-Hsin Road V, Hsinchu Science Park Hsinchu. 30078 Taiwan

Re: K201880

Trade/Device Name: MultiSure GK Link Blood Glucose and Ketone Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose Test System Regulatory Class: Class II Product Code: NBW. JIN Dated: February 9, 2021 Received: February 12, 2021

Dear Lisa Liu:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

1

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Marianela Perez-Torres. Ph.D. Deputy Director Division of Chemistry and Toxicology Devices OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K201880

Device Name

MultiSure GK Link Blood Glucose and Ketone Monitoring System

Indications for Use (Describe)

MultiSure GK Link Blood Glucose and Ketone Monitoring System is comprised of the MultiSure GK Blood Glucose and Ketone Meter, the MultiSure GK Blood Glucose Test Strips, and the MultiSure GK Blood Ketone test strips.

The MultiSure GK Link Blood Glucose and Ketone Monitoring System is intended to quantitatively measure blood glucose or blood ketone in fresh capillary whole blood drawn from fingertips. The system is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes mellitus at home as an aid in monitoring the effectiveness of diabetes control and should only be used by a single patient and it should not be shared. It is not intended for diagnosis or screening of diabetes or for neonatal use.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

X Over-The-Counter Use (21 CFR 801 Subpart C)

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."

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

3

510(k) Summary

510(k) numberK201880
Submitter:Apex Biotechnology Corp.
No. 7, Li-Hsin Road V, Hsinchu Science Park
Hsinchu, 30078
CHINA (TAIWAN)
Contact Person:Lisa Liu
Manager of Quality Assurance Division
Apex Biotechnology Corp.
No. 7, Li-Hsin Road V, Hsinchu Science Park
Hsinchu, 30078
CHINA (TAIWAN)
email: lisaliu@apexbio.com
Phone: 011-886-3-5641952
FAX: 011-886-3-5678021
Trade Names:MultiSure GK Link Blood Glucose and Ketone Monitoring System
Classification:Blood glucose test system, over the counter, 21 CFR 862.1345, Class II
Ketones (nonquantitative) test system, 21 CFR 862.1435, Class I, meets
the limitation of exemption 21 CFR 862.9(c)(5).
Product Codes:NBW • JIN
Predicate Devices:Nova Max Plus Blood Glucose and β-Ketone Monitoring System
(K091547)
Device Description:The MultiSure GK Link Blood Glucose and Ketone Monitoring System
consists of the MultiSure GK Link Blood Glucose and Ketone Meter,
MultiSure GK Blood Glucose test strips, MultiSure GK Blood Ketone test
strips, Contrex Plus 4 Glucose Control Solution (Level 1, Level 2 and
Level 3), and KET-1 ketone control solution (Level 1 and Level 2). The
system is for self-testing of blood glucose and blood ketone. The MultiSure
GK Blood Glucose test strips, MultiSure GK Blood Ketone test strips,
Contrex Plus 4 Glucose Control Solution, and KET-1 ketone control
solution are purchased separately.
MultiSure GK Link Blood Glucose and Ketone Monitoring System
enables automatic transmission of stored data to a data management
system using upload data via USB cable (optional), or mobile device with
Bluetooth when the meter and data management systems are properly
configured.
The glucose test strips and glucose control solution utilized in the MultiSure
GK Link Blood Glucose and Ketone Monitoring System are the same as
the BGM009 glucose test strips and Contrex Plus 4 Glucose Control
Solution, previously cleared in K170267; The ketone test strips and ketone
control solution are the same as the KET-1 Blood Ketone test strips and
KET-1 ketone control solution, previously cleared in K182593.
Intended Use:MultiSure GK Link Blood Glucose and Ketone Monitoring System:
MultiSure GK Link Blood Glucose and Ketone Monitoring System is
comprised of the MultiSure GK Blood Glucose and Ketone Meter, the
MultiSure GK Blood Glucose Test Strips, and the MultiSure GK Blood
Ketone test strips.
The MultiSure GK Link Blood Glucose and Ketone Monitoring System is
intended to quantitatively measure blood glucose or blood ketone in fresh
capillary whole blood drawn from fingertips. The system is intended for
self-testing outside the body (in vitro diagnostic use) by people with
diabetes mellitus at home as an aid in monitoring the effectiveness of
diabetes control and should only be used by a single patient and it should
not be shared. It is not intended for diagnosis or screening of diabetes or
for neonatal use.
Comparison of
Technological
Characteristics:Glucose measurement is based on electrochemical biosensor technology
using the enzyme Glucose Oxidase (GOD) The MultiSure GK Blood
Glucose test strips contains the enzyme, GOD, when blood flow into the
reaction zone, the enzyme reacts with glucose in blood and produces
electrical current. The MultiSure GK Link Blood Glucose and Ketone
meter measures the current and shows the test result in 5 seconds. The
technological characteristics of MultiSure GK Link Blood Glucose and
Ketone Monitoring System are substantially equivalent to the predicate
system (K091547).
Ketone measurement is based on electrochemical biosensor technology
using the enzyme $\beta$ -hydroxybutyrate dehydrogenase (HBDH). The
MultiSure GK Blood Ketone test strips contains the enzyme, HBDH, when
blood flow into the reaction zone, the enzyme reacts with $\beta$ - Hydroxybutyrate ( $\beta$ -ketone) in blood and produces electrical current. The
MultiSure GK Link Blood Glucose and Ketone meter measures the current
and shows the test result in 8 seconds. The technological characteristics of
MultiSure GK Link Blood Glucose and Ketone Monitoring System are
substantially equivalent to the predicate system (K091547).
Non-Clinical
Testing:Testing was conducted as follows: EMC and Electrical Safety, disinfection
performance (robustness of meter to multiple cleanings and disinfections),
software verification and validation including cybersecurity management,
precision testing, repeatability testing, temperature and humidity testing,
intermittent sampling testing, sample perturbation testing, stability and
results demonstrate substantial equivalence to the predicate system.
Clinical TestingAccuracy studies for glucose and ketone were conducted with home users,
including evaluation of ease of use and ease of understanding of the user
manual. Results demonstrate substantial equivalence to the predicate
system.
Conclusion:Clinical and analytical testing demonstrated that the MultiSure GK Link
Blood Glucose and Ketone Monitoring System perform in a substantially
equivalent manner to that of the predicate. We conclude that the MultiSure
GK Link Blood Glucose and Ketone Monitoring System is substantially
equivalent to the predicate system.

4

5