K Number
K201980
Device Name
Infrared Thermometer
Date Cleared
2020-12-18

(155 days)

Product Code
Regulation Number
880.2910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TP500 Infrared Thermometer is intended to measure human body temperature by measuring from 1-3cm distance to the forehead. The device can be used on people of all ages. It is recommended that the device be operated by an adult. The device is intended to be used in the hospital and other clinical environments.
Device Description
The Infrared thermometer (model TP500) is a hand-held, battery powered, electronic thermometer that converts a subject's forehead temperature, using the infrared energy emitted in the area around the subject's forehead to an oral equivalent temperature when measured from 1-3cm to the center of the subject's forehead with no contact. The device can be used on people of all ages and is intended to be used in the hospital and other clinical environments.
More Information

Not Found

No
The document describes a standard infrared thermometer and does not mention any AI or ML capabilities, training data, or complex algorithms beyond basic temperature conversion.

No
This device is an infrared thermometer intended for measuring body temperature, which is a diagnostic function, not a therapeutic one.

Yes
The device is intended to measure human body temperature. While it doesn't diagnose a specific disease, it provides a measurement that can be used by healthcare professionals as part of a diagnostic process to identify conditions like fever, which is a symptom of various illnesses. This makes it a diagnostic aid.

No

The device description explicitly states it is a "hand-held, battery powered, electronic thermometer" that converts infrared energy to a temperature reading, indicating it is a hardware device with embedded software, not a software-only medical device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. These tests are performed outside of the living body (in vitro).
  • Device Function: The TP500 Infrared Thermometer measures human body temperature by detecting infrared energy emitted from the forehead. This is a measurement taken directly from the body (in vivo), not from a sample taken from the body.

The description clearly states the device measures temperature from the forehead, which is an in vivo measurement. It does not involve analyzing biological samples.

N/A

Intended Use / Indications for Use

The TP500 Infrared Thermometer is intended to measure human body temperature by measuring from 1-3cm distance to the forehead. The device can be used on people of all ages. It is recommended that the device be operated by an adult. The device is intended to be used in the hospital and other clinical environments.

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

FLL

Device Description

The Infrared thermometer (model TP500) is a hand-held, battery powered, electronic thermometer that converts a subject's forehead temperature, using the infrared energy emitted in the area around the subject's forehead to an oral equivalent temperature when measured from 1-3cm to the center of the subject's forehead with no contact. The device can be used on people of all ages and is intended to be used in the hospital and other clinical environments.

The Infrared thermometer has the following features

  • Non-Contact Design.
  • One-button operation.
  • Quick to get data for just 1 second.
  • Memory function; Memory recall of 30 reading.
  • Switching between mute and un-mute.
  • Switching between Fahrenheit and Celsius.
  • Power management: automatic shutdown, low power consumption control; power display; low power reminder
  • Automatically power-off, if left idle for 5 seconds.
  • Prompt for 37.6℃ (99. 6 °F) high temperature.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

forehead

Indicated Patient Age Range

all ages

Intended User / Care Setting

It is recommended that the device be operated by an adult. The device is intended to be used in the hospital and other clinical environments.

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

Total 108 subjects and three age groups, including age 01 (35 subjects), age 15 (33 subjects) and age above 5 (40 subjects) are included in each clinical study, including febrile and afebrile persons.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Controlled human clinical studies were conducted on proposed device with predicates in accordance with ASTM E1965-98, clinical bias, clinical uncertainty and clinical repeatability have been evaluated per clinical validation for infrared thermometer. The clinical trial results verify that the clinical accuracy of the proposed device is not inferior to that of predicate device.
Total 108 subjects and three age groups, including age 01 (35 subjects), age 15 (33 subjects) and age above 5 (40 subjects) are included in each clinical study, including febrile and afebrile persons. The statistical results of clinical bias and clinical repeatability of two comparison groups were assessed and the results of the proposed device meet the performance parameters claimed in user manual, and the proposed device complies with ASTM E1965-98.

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.

K182597

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

§ 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.

0

Image /page/0/Picture/0 description: The image contains 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 blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue and gray.

December 18, 2020

Contec Medical Systems Co., Ltd. % Ray Wang General Manager Beijing Believe-Med Technology Service Co., Ltd. Rm.912. Building #15. XiYueHui. No.5. YiHe North Rd., FangShan District, BeiJing 102401 China

Re: K201980

Trade/Device Name: Infrared Thermometer Regulation Number: 21 CFR 880.2910 Regulation Name: Clinical Electronic Thermometer Regulatory Class: Class II Product Code: FLL Dated: November 16, 2020 Received: November 19, 2020

Dear Ray Wang:

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/cfpmr/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.

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

1

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) 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 (OS) 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 mediation-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,

Alan M.
Stevens -
S3

CAPT Alan M. Stevens Acting Director DHT3C: Division of Drug Delivery and General Hospital Devices, and Human Factors OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K201980

Device Name Infrared Thermometer

Indications for Use (Describe)

The TP500 Infrared Thermometer is intended to measure by measuring from 1-3cm distance to the forehead. The device can be used on people of all ages. It is recommended that the device be operated by an adult. The device is intended to be used in the hospital and other clinical environments.

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)

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Tab #4 510(k) Summary

This 510(k) Summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of SMDA 1990 and Title 21, CFR Section 807.92.

The assigned 510(k) Number: K201980

    1. Date of Preparation: 12/18/2020
    1. Sponsor Identification

Contec Medical Systems Co., Ltd.

No.112 Qinhuang West Street, Economic & Technical Development Zone, Qinhuangdao, Hebei Province, 066004,China

Establishment Registration Number: 3006979678 Contact Person: Xueyong Li Position: Quality Manager Tel: +86-355-8015490 Fax: +86-355-8015490 Email: lxy1011@163.com

    1. Designated Submission Correspondent
      Ray Wang General Manager

Beijing Believe-Med Technology Service Co., Ltd. Rm.912, Building #15, XiYueHui, No.5, YiHe North Rd., FangShan District, BeiJing, China 102401

Tel: +86-18910677558 Fax: +86-10-56335780 Email: ray.wang@believe-med.com

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4. Identification of Proposed Device

Trade Name: Infrared Thermometer Common Name: Infrared Thermometer Model(s): TP500

Regulatory Information

Classification Name: Clinical electronic thermometer Classification:II Product Code:FFLL Regulation Number: CFR 880.2910 Review Panel:General Hospital;

Indication for Use Statement:

The TP500 Infrared Thermometer is intended to measure human body temperature by measuring from 1-3cm distance to the forehead. The device can be used on people of all ages. It is recommended that the device be operated by an adult. The device is intended to be used in the hospital and other clinical environments.

Device Description

The Infrared thermometer (model TP500) is a hand-held, battery powered, electronic thermometer that converts a subject's forehead temperature, using the infrared energy emitted in the area around the subject's forehead to an oral equivalent temperature when measured from 1-3cm to the center of the subject's forehead with no contact. The device can be used on people of all ages and is intended to be used in the hospital and other clinical environments.

The Infrared thermometer has the following features

  • Non-Contact Design. (1)
  • (2) One-button operation.
  • (3) Quick to get data for just 1 second.
  • (4) Memory function; Memory recall of 30 reading.
  • (5) Switching between mute and un-mute.
  • (6) Switching between Fahrenheit and Celsius.

(7) Power management: automatic shutdown, low power consumption control; power display; low power reminder

  • Automatically power-off, if left idle for 5 seconds. (8)
  • Prompt for 37.6℃ (99. 6 °F) high temperature. (9)

5

  • న. Identification of Predicate Device(s)
    Primary Predicate Device 510(k) Number: K182597 Product Name: Infrared thermometer Model Name: PG-IRT1602 Manufacturer: Shenzhen Pango Electronic Co., Ltd

  • Non-Clinical Test Conclusion 6.
    The test results demonstrated that the proposed device complies with the following standards:

  • ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, Medical electrical equipment Part 1: General a. requirements for basic safety and essential performance (IEC 60601-1:2005, MOD)

  • IEC 60601-1-2 Edition 4.0 2014-02, Medical Electrical Equipment Part 1-2: General b. Requirements for Basic Safety and Essential Performance - Collateral Standard: Electromagnetic Disturbances - Requirements and Tests.

  • ISO 80601-2-56 Second edition 2017-03 Medical electrical equipment Part 2-56: Particular C. requirements for basic safety and essential performance of clinical thermometers for body temperature measurement. [Including: Amendment 1 (2018)].

  • ASTM E1965-98 (Reapproved 2016) Standard Specification for Infrared Thermometers for d. Intermittent Determination of Patient Temperature

  • ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5: Tests for in vitro cytotoxicity e.

  • ISO 10993-10:2010 Biological evaluation of medical devices -- Part 10: Tests for irritation and f. skin sensitization

The software verification and validation were conducted in accordance with the "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices," dated May 11, 2005. The test results demonstrated the software function met the requirements.

    1. Clinical Test Conclusion
      Controlled human clinical studies were conducted on proposed device with predicates in accordance with ASTM E1965-98, clinical bias, clinical uncertainty and clinical repeatability have been evaluated per clinical validation for infrared thermometer. The clinical trial results verify that the clinical accuracy of the proposed device is not inferior to that of predicate device.

Total 108 subjects and three age groups, including age 01 (35 subjects), age 15 (33 subjects) and age above 5 (40 subjects) are included in each clinical study, including febrile and afebrile persons.

6

The statistical results of clinical bias and clinical repeatability of two comparison groups were assessed and the results of the proposed device meet the performance parameters claimed in user manual, and the proposed device complies with ASTM E1965-98.

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8. Substantially Equivalent (SE) Comparison

Table 1 Comparison of Technology Characteristics

ItemProposed Device(s) K201980Predicate Device(s) K182597Remark
Device nameTP500 Infrared ThermometerPG-IRT1602 Infra-red Ear ThermometerSE
Classification NameClinical electronic thermometerClinical electronic thermometerSE
Product CodeFLLFLLSE
Regulation NumberCFR 880.2910CFR 880.2910SE
Comparison
StatementThe proposed device has same classification information as the predicate device.
Indications for UseThe TP500 Infrared Thermometer is intended to measure
human body temperature by measuring from 1-3cm distance to
the forehead. The device can be used on people of all ages. It is
recommended that the device be operated by an adult. The
device is intended to be used in the hospital and other clinical
environments.PG-IRT1602 Infrared Forehead Thermometer is intended
to measure human body temperature by measuring
forehead.
The device can be used on people of all ages.Analysis 1
Principle of
OperationNon-contacting,
Infrared Temperature MeasurementNon-contacting,
Infrared Temperature MeasurementSE
Comparison
StatementThe proposed device has a similar indication for Use and the same Principle of Operation as the predicate device.
Main Unit Technical Specifications
Measurement Range32°C43°C (89.6°F109.4°F)34.0°C-43.0°CAnalysis 2
Accuracy±0.3°C (0.5°F)±0.2°C at 35.0 °C-42.0°CAnalysis 2
Others ±0.3°C
Measurement1-3cm3~5cmAnalysis 2

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distance
ActivationScan buttonScan buttonSE
PowerTwo pieces of 1.5VTwo pieces of 1.5VSE
requirementsAAA (number seven) batteriesAAA (number seven) batteriesSE
Measurement
SiteForeheadForeheadSE
Measuring
intervalAbout 1 sAbout 2 sAnalysis 2
Scale selection°C/°F°C/°FSE
Display screenLCDLCDSE
Display Resolution0.1°C/0.2°FNot AvailableAnalysis 3
Measurement ModeAdjustedAdjustedSE
Reference Body SiteOralNot AvailableAnalysis 3
Operational
Environmental
conditions16°C~40°C (60.8°F-104.0°F); ≤ 95 % (no condensation);
70kPa~106kPaNot AvailableAnalysis 3
Storage Environmental
conditions-20°C~55°C (-68.0°F-131.0°F); ≤ 95 % (no condensation);
50kPa~106kPaNot AvailableAnalysis 3
Intended Use
EnvironmentProfessional Healthcare EnvironmentNot AvailableAnalysis 4
Temperature ranges
used for the
identification of “Body
Temp Lo” and “Body
Temp Hi”When the temperature measured is less than or equal to
32.0°C (89.6°F), displays “Body Temp Lo”;
When the temperature measured is greater than or equal to
37.6°C (99.6 °F) and less than 38.4°C, it displays “Body
Temp Hi” and the screen backlight is yellow;
When the temperature measured is greater than 38.4°C
(101.1°F), it displays “Body Temp Hi” and the screen
backlight is red.Not AvailableAnalysis 5
MemorySave last measured 30 sets memories9 setsAnalysis 2
Fever PromptYesYesSE
Back lightYesYesSE
Auto power-off5 seconds after no operationAuto shut off: 30 seconds without operationAnalysis 2
SterileNoNoSE
Single UseNoNoSE
MaterialsPC, white ABS, gray ABSNot AvailableAnalysis 6
Comparison
Statement:The proposed device has the similar main unit specifications with the predicate device and for those characteristics not available, the
subject device meets applicable standards.
BiocompatibilityISO10993-5&ISO10993-10ISO10993-5&ISO10993-10SE
Electrical SafetyIEC60601-1IEC60601-1SE
EMCIEC60601-1-2IEC60601-1-2SE
PerformanceISO 80601-2-56ISO 80601-2-56SE
ASTM E1965-98ASTM E1965-98
Comparison
StatementThe proposed probe has same applied Standards with the predicate device.

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10

510(k) Summary

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  1. Substantially Equivalent (SE) Conclusion

The subject device has same classification information, similar indication for use, similar product design, similar specification, similar applied Standards as predicate device. The differences are included as followings:

Analysis 1: The proposed device and predicate device are similar in the Indication for Use, with the proposed device being more specific in its indications. The differences do not raise new questions of safety or effectiveness and are evaluated through the testing.

Analysis 2 : The Measurement Range, Accuracy, Measurement distance, Measuring interval, Memory, and Auto power-off are similar with the predicate device, both of them meet the requirement of safety and essential performance ISO 80601-2-56. The differences between the predicate device and subject device will not affect the effectiveness and safety of the subject device.

Analysis 3: The Display Resolution, Reference Body Site, Operational and Storage Environmental Conditions, cannot be compared to with the predicate device since these characteristics of the predicate device are not available; however, the subject device meets the requirement of safety and essential performance ISO 80601-2-56. These characteristics will not affect the effectiveness and safety of the subject device.

Analysis 4: The Intended Use environment is similar to the predicate but limited to only the Professional Healthcare Environment. This limitation in Intended Use Environment will not affectiveness and safety of the subject device since the subject device passes IEC60601-1-2 related to its specific usage environment.

Analysis 5: The Temperature ranges used for the identification of "Body Temp Lo" and "Body Temp Hi", are not available for the predicate device and cannot be compared with the subject; however, the subject device passes the software validation and the ranges presented will not affectiveness and safety of the subject device.

Analysis 6: The materials used cannot be compared to the predicate device since these are not available; however, the materials of the subject device pass the necessary biocompatibility testing per ISO10993-5 and ISO10993-10 and the materials are shown to not affect the effectiveness and safety of the subject device.

Conclusion: Based on the safety and performance testing and compliance with acceptable voluntary standards, we believe that the Infrared Thermometer (Model TP500) is Substantially Equivalent (SE) to the predicate device (K182597) which is a legally marketed device and does not raise any new safety and effectiveness issues.