K Number
K202534
Device Name
MTM301 Blood Glucose and Ketone Monitoring System
Date Cleared
2022-04-06

(582 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MTM301 Blood Glucose and Ketone Monitoring System: MTM301 Blood Glucose and Ketone Monitoring System is comprised of the MTM301 Blood Glucose and Ketone Meter, the MTM301 Blood Glucose Test Strips, and the MTM301 Blood Ketone test strips. The MTM301 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 MTM301 Blood Glucose and Ketone Monitoring System consists of the MTM301 Blood Glucose and Ketone Meter, MTM301 Blood Glucose test strips, MTM301 Blood Ketone test strips, MTM301 Glucose Control Solution (Level 1, Level 2), and MTM301 ketone control solution (Level 1 and Level 2). The system is for self-testing of blood glucose and blood ketone. The MTM301 Blood Glucose test strips, MTM301 Blood Ketone test strips, MTM301 Glucose Control Solution, and MTM301 ketone control solution are purchased separately. The glucose test strips utilized in the MTM301 Blood Glucose and Ketone Monitoring System are the same as the BGM009 glucose test strips previously cleared in k170267 ; The ketone test strips are the same as the KET-1 Blood Ketone test strips, previously cleared in k182593.
More Information

No
The summary describes a standard blood glucose and ketone monitoring system based on test strips and a meter, with no mention of AI or ML in the device description, intended use, or performance studies.

No
A therapeutic device is used to treat or cure a disease or condition. This device is an in vitro diagnostic device used solely for monitoring blood glucose and ketone levels to aid in diabetes control, not for treatment.

Yes
The device is described as an "in vitro diagnostic use" system that measures blood glucose and ketone levels to aid in monitoring diabetes control. While it explicitly states "It is not intended for diagnosis or screening of diabetes," its function for monitoring a disease state classifies it as a diagnostic device in the broader sense of providing information for health assessment.

No

The device description explicitly states it consists of a meter, test strips, and control solutions, which are all hardware components. While software verification and validation are mentioned, the device is clearly a system with physical parts.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section clearly states: "The system is intended for self-testing outside the body (in vitro diagnostic use)..."
  • Nature of the Test: The system measures blood glucose and blood ketone levels in a sample of blood taken from the body. This is a classic example of an in vitro diagnostic test, as it analyzes a biological sample outside of the living organism to provide information about the patient's health status.
  • Purpose: The intended use is to aid in monitoring the effectiveness of diabetes control, which is a diagnostic purpose.

Therefore, based on the provided information, the MTM301 Blood Glucose and Ketone Monitoring System is definitively an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

MTM301 Blood Glucose and Ketone Monitoring System: MTM301 Blood Glucose and Ketone Monitoring System is comprised of the MTM301 Blood Glucose and Ketone Meter, the MTM301 Blood Glucose Test Strips, and the MTM301 Blood Ketone test strips.

The MTM301 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 (comma separated list FDA assigned to the subject device)

NBW, JIN

Device Description

The MTM301 Blood Glucose and Ketone Monitoring System consists of the MTM301 Blood Glucose and Ketone Meter, MTM301 Blood Glucose test strips, MTM301 Blood Ketone test strips, MTM301 Glucose Control Solution (Level 1, Level 2), and MTM301 ketone control solution (Level 1 and Level 2). The system is for self-testing of blood glucose and blood ketone. The MTM301 Blood Glucose test strips, MTM301 Blood Ketone test strips, MTM301 Glucose Control Solution, and MTM301 ketone control solution are purchased separately.
The glucose test strips utilized in the MTM301 Blood Glucose and Ketone Monitoring System are the same as the BGM009 glucose test strips previously cleared in K170267 ; The ketone test strips are the same as the KET-1 Blood Ketone test strips, previously cleared in K182593.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingertips

Indicated Patient Age Range

Not Found

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: disinfection performance (robustness of meter to multiple cleanings and disinfections), software verification and validation, linearity study, precision testing, repeatability testing, temperature and humidity testing, intermittent sampling testing, sample perturbation testing and stability test. 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.

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.

K091547

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.

K170267, K182593

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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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: the Department of Health and Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" in a square and the words "U.S. Food & Drug Administration".

April 6, 2022

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

Re: K202534

Trade/Device Name: MTM301 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: December 30, 2021 Received: January 6, 2022

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.

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Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801 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

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

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

510(k) Number (if known) K202534

Device Name

MTM301 Blood Glucose and Ketone Monitoring System

Indications for Use (Describe)

MTM301 Blood Glucose and Ketone Monitoring System: MTM301 Blood Glucose and Ketone Monitoring System is comprised of the MTM301 Blood Glucose and Ketone Meter, the MTM301 Blood Glucose Test Strips, and the MTM301 Blood Ketone test strips.

The MTM301 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."

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510(k) Summary

510(k) numberK202534
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:MTM301 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 MTM301 Blood Glucose and Ketone Monitoring System consists
of the MTM301 Blood Glucose and Ketone Meter, MTM301 Blood
Glucose test strips, MTM301 Blood Ketone test strips, MTM301 Glucose
Control Solution (Level 1, Level 2), and MTM301 ketone control solution
(Level 1 and Level 2). The system is for self-testing of blood glucose and
blood ketone. The MTM301 Blood Glucose test strips, MTM301 Blood
Ketone test strips, MTM301 Glucose Control Solution, and MTM301
ketone control solution are purchased separately.
The glucose test strips utilized in the MTM301 Blood Glucose and Ketone
Monitoring System are the same as the BGM009 glucose test strips
previously cleared in K170267 ; The ketone test strips are the same as
the KET-1 Blood Ketone test strips, previously cleared in K182593.
Intended Use:MTM301 Blood Glucose and Ketone Monitoring System: MTM301
Blood Glucose and Ketone Monitoring System is comprised of the
MTM301 Blood Glucose and Ketone Meter, the MTM301 Blood Glucose
Test Strips, and the MTM301 Blood Ketone test strips.
The MTM301 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 MTM301 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 MTM301 Blood Glucose and Ketone meter measures the
current and shows the test result in 5 seconds. The technological
characteristics of MTM301 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 β -hydroxybutyrate dehydrogenase (HBDH). The
MTM301 Blood Ketone test strips contains the enzyme, HBDH, when
blood flow into the reaction zone, the enzyme reacts with β-
Hydroxybutyrate (β-ketone) in blood and produces electrical current. The
MTM301 Blood Glucose and Ketone meter measures the current and
shows the test result in 8 seconds. The technological characteristics of
MTM301 Blood Glucose and Ketone Monitoring System are substantially
equivalent to the predicate system (K091547). |
| Non-Clinical
Testing: | Testing was conducted as follows: disinfection performance (robustness
of meter to multiple cleanings and disinfections), software verification
and validation, linearity study, precision testing, repeatability testing,
temperature and humidity testing, intermittent sampling testing, sample
perturbation testing and stability test. 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 MTM301 Blood
Glucose and Ketone Monitoring System perform in a substantially equivalent
manner to that of the predicate. We conclude that the MTM301 Blood
Glucose and Ketone Monitoring System is substantially equivalent to the
predicate system. |

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