K Number
K213061
Device Name
SuperCheck Pro Blood Glucose Monitoring System
Date Cleared
2022-10-07

(380 days)

Product Code
Regulation Number
862.1345
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SuperCheck Pro Blood Glucose Monitoring System is intended for use in the quantitative measurement of glucose in fresh capillary whole blood from the finger, forearm, upper arm, calf, thigh, or palm. It is intended to be used by a single person and should not be shared. The SuperCheck Pro Blood Glucose Monitoring System is 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 a diabetes control program. The SuperCheck Pro Blood Glucose Monitoring System is not intended for the diagnosis of or screening for diabetes mellitus, nor for use with neonates. Alternative site testing should be done only during steady-state conditions (when blood glucose is not changing rapidly).
Device Description
SuperCheck Pro Blood Glucose Monitoring System is used for determining the approximate concentration of glucose in the blood. A complete kit (starter kit) of SuperCheck Pro Blood Glucose Monitoring System consists of: - 1. SuperCheck Pro Blood Glucose Meter - 2. SuperCheck Pro Blood Glucose Test Strips - 3. OKmeter Control Solution (Level I, II) Before use, The SuperCheck Pro Blood Glucose Test Strips should be inserted into the SuperCheck Pro Blood Glucose Meter first. Prick a fingertip with a sterile Lancet that installed in the Lancing device and apply the blood drop to the front edge of the Test Strip. Wait for 5 seconds and the Meter will display the test result. OKmeter Control Solution containing a known amount of glucose that is used to confirm SuperCheck Pro Blood Glucose Meter and SuperCheck Pro Blood Glucose Test Strips are working properly together. Follow the same steps as above but replace the blood drop by OKmeter Control Solution. OKmeter Control Solution and SuperCheck Pro Blood Glucose Test Strips could be separately bought. The SuperCheck Pro Blood Glucose Monitoring System (Model OK-2MJB) measures the amounts of glucose in whole blood quantitative using fresh capillary whole blood from the fingertip and alternative sites including palm, forearm, upper arm, calf, and thigh. Amperometric technology is used for the detection of glucose from the strip with whole blood sample on the meter. Reagent consisting of glucose dehydrogenase with its cofactor flavin adenine dinucleotide (GDH-FAD) and mediator is deposited onto the reaction area of the test strip with carbon printed electrodes. The testing is based on the measurement of electrical current generated by the reaction of capillary whole blood glucose with the enzyme, GDH-FAD, on the test strip. The meter measures the strength of the current which is proportional to the amounts of glucose in the sample and displays the corresponding blood glucose concentration.
More Information

Not Found

No
The description focuses on standard electrochemical and amperometric technology for glucose measurement and does not mention any AI or ML components.

No.
The device is used for measurement and monitoring of glucose levels, which is an in vitro diagnostic use, not a therapeutic intervention.

No

The "Intended Use / Indications for Use" explicitly states: "The SuperCheck Pro Blood Glucose Monitoring System is not intended for the diagnosis of or screening for diabetes mellitus". It is described as an aid in monitoring, not diagnosing.

No

The device description explicitly states that the system is comprised of a "SuperCheck Pro Blood Glucose Meter" and "SuperCheck Pro Blood Glucose Test Strips," which are hardware components. The description details how these physical components are used together to measure blood glucose.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section clearly states: "The SuperCheck Pro Blood Glucose Monitoring System is for self-testing outside the body (in vitro diagnostic use)..."
  • Method of Operation: The device measures glucose in a biological sample (blood) outside the body. This is the core characteristic of an in vitro diagnostic device.
  • Purpose: It is used to monitor a health condition (diabetes mellitus) by analyzing a sample taken from the body.

The description and intended use align perfectly with the definition of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The SuperCheck Pro Blood Glucose Monitoring System is comprised of the SuperCheck Pro Blood Glucose Meter and SuperCheck Pro Blood Glucose Test Strips.

The SuperCheck Pro Blood Glucose Monitoring System is intended for use in the quantitative measurement of glucose in fresh capillary whole blood from the finger, forearm, upper arm, calf, thigh, or palm. It is intended to be used by a single person and should not be shared. The SuperCheck Pro Blood Glucose Monitoring System is 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 a diabetes control program.

The SuperCheck Pro Blood Glucose Monitoring System is not intended for the diagnosis of or diabetes mellitus, nor for use with neonates.

Alternative site testing should be done only during steady-state conditions (when blood glucose is not changing rapidly).

Product codes

NBW

Device Description

SuperCheck Pro Blood Glucose Monitoring System is used for determining the approximate concentration of glucose in the blood. A complete kit (starter kit) of SuperCheck Pro Blood Glucose Monitoring System consists of:

    1. SuperCheck Pro Blood Glucose Meter
    1. SuperCheck Pro Blood Glucose Test Strips
    1. OKmeter Control Solution (Level I, II)

Before use, The SuperCheck Pro Blood Glucose Test Strips should be inserted into the SuperCheck Pro Blood Glucose Meter first. Prick a fingertip with a sterile Lancet that installed in the Lancing device and apply the blood drop to the front edge of the Test Strip. Wait for 5 seconds and the Meter will display the test result.

OKmeter Control Solution containing a known amount of glucose that is used to confirm SuperCheck Pro Blood Glucose Meter and SuperCheck Pro Blood Glucose Test Strips are working properly together. Follow the same steps as above but replace the blood drop by OKmeter Control Solution.

OKmeter Control Solution and SuperCheck Pro Blood Glucose Test Strips could be separately bought.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

finger, forearm, upper arm, calf, thigh, or palm

Indicated Patient Age Range

The SuperCheck Pro Blood Glucose Monitoring System is not intended for the diagnosis of or screening for diabetes mellitus, nor for use with neonates.

Intended User / Care Setting

It is intended to be used by a single person and should not be shared. The SuperCheck Pro Blood Glucose Monitoring System is 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 a diabetes control program.

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

Non-clinical and clinical studies were conducted to test, verify, and validate the performance of the proposed device according to FDA Guidance issued on September 29, 2020: Self-Monitoring Blood Glucose Test Systems for Over-the-Counter Use and other relevant standards. Results from these studies show that all performance criteria were met.

Non-Clinical Testing Summary: Design verification and validation testing was performed to ensure that the SuperCheck Pro Blood Glucose Monitoring System (Model OK-2MJB) met design specifications and requirements. Testing activities included electrical/mechanical safety tests, functional performance tests (precision, linearity, interference, flex studies) as well as disinfection, cleaning, and robustness studies. Software validation was performed for this moderate level of concern device per FDA Guidance Content of Premarket Submissions for Software Contained in Medical Devices.

Clinical Testing Summary: A user evaluation confirmed the system accuracy, operation according to design, and ease of use to support the intended use as described in the proposed labeling.

Key Metrics

Not Found

Predicate Device(s)

K171785

Reference Device(s)

Not Found

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.

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Image /page/0/Picture/0 description: The image shows 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 in blue, with the words "U.S. FOOD & DRUG ADMINISTRATION" in blue as well. The FDA is a federal agency responsible for regulating and supervising the safety of food, drugs, and other products.

October 7, 2022

OK BioTech Co., Ltd. Laurie Liu Special Assistant to GM No. 91, Sec. 2, Gongdao 5th Rd. Hsinchu City, 30070, Taiwan

Re: K213061

Trade/Device Name: SuperCheck Pro Blood Glucose Monitoring System Regulation Number: 21 CFR 862.1345 Regulation Name: Glucose Test System Regulatory Class: Class II Product Code: NBW Dated: July 6, 2022 Received: July 8, 2022

Dear Laurie 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/cfpmp/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 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

1

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.

Paula Caposino, Ph.D. Acting Deputy Director Division of Chemistry and Toxicology Devices OHT7: Office of In Vitro Diagnostics 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) K213061

Device Name

SuperCheck Pro Blood Glucose Monitoring System

Indications for Use (Describe)

The SuperCheck Pro Blood Glucose Monitoring System is comprised of the SuperCheck Pro Blood Glucose Meter and SuperCheck Pro Blood Glucose Test Strips.

The SuperCheck Pro Blood Glucose Monitoring System is intended for use in the quantitative measurement of glucose in fresh capillary whole blood from the finger, forearm, upper arm, calf, thigh, or palm. It is intended to be used by a single person and should not be shared. The SuperCheck Pro Blood Glucose Monitoring System is 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 a diabetes control program.

The SuperCheck Pro Blood Glucose Monitoring System is not intended for the diagnosis of or diabetes mellitus, nor for use with neonates.

Alternative site testing should be done only during steady-state conditions (when blood glucose is not changing rapidly).

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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Image /page/3/Picture/0 description: The image shows the logo for Kbiotech. The logo features a stylized "K" with an orbital design around it, followed by the word "biotech" in a smaller, sans-serif font. Below the company name is Chinese text, which likely represents the company's name in Chinese characters.

510(k) Summary

Submission Number: K213061

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92.

I. Submitter Information

Company NameOK Biotech Co., Ltd.
AddressNo. 91, Sec. 2, Gongdao 5th Rd., Hsinchu
City 30070, Taiwan.
Telephone+886-3-516-0258
Fax+886-3-516-0028
Date of SubmissionOctober 7, 2021
Contact PersonLaurie Liu
TitleSpecial assistant to GM
E-mailLaurie.liu@okmeter.com

II. Regulatory information:

Proprietary NameSuperCheck Pro Blood Glucose Monitoring System
Model No.Meter: OK-2MJB, Strips: OK2M
Common NameBlood Glucose Monitoring System
Regulation section21 CFR § 862.1345, Glucose Test System
Regulatory ClassClass II
Product CodeNBW, Blood glucose test system, over the counter
Classification PanelClinical Chemistry

III. Predicate Device Information

ManufacturerBiotest Medical Corp.
Device NameWowGoHealth Blood Glucose Monitoring System
510(k) NumberK171785

IV. Indications for Use

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Image /page/4/Picture/0 description: The image shows the logo for Kbiotech. The logo features a stylized "K" with an orbital design around it, followed by the text "biotech" in a bold, sans-serif font. Below the company name is Chinese text, which likely represents the company's name in Chinese characters.

The SuperCheck Pro Blood Glucose Monitoring System is comprised of the SuperCheck Pro Blood Glucose Meter and SuperCheck Pro Blood Glucose Test Strips.

The SuperCheck Pro Blood Glucose Monitoring System is intended for use in the quantitative measurement of glucose in fresh capillary whole blood from the finger, forearm, upper arm, calf, thigh, or palm. It is intended to be used by a single person and should not be shared. The SuperCheck Pro Blood Glucose Monitoring System is for selftesting outside the body (in vitro diagnostic use) by people with diabetes mellitus at home as an aid in monitoring the effectiveness of a diabetes control program.

The SuperCheck Pro Blood Glucose Monitoring System is not intended for the diagnosis of or screening for diabetes mellitus, nor for use with neonates.

Alternative site testing should be done only during steady-state conditions (when blood glucose is not changing rapidly).

V. Device Description

SuperCheck Pro Blood Glucose Monitoring System is used for determining the approximate concentration of glucose in the blood. A complete kit (starter kit) of SuperCheck Pro Blood Glucose Monitoring System consists of:

    1. SuperCheck Pro Blood Glucose Meter
    1. SuperCheck Pro Blood Glucose Test Strips
    1. OKmeter Control Solution (Level I, II)

Before use, The SuperCheck Pro Blood Glucose Test Strips should be inserted into the SuperCheck Pro Blood Glucose Meter first. Prick a fingertip with a sterile Lancet that installed in the Lancing device and apply the blood drop to the front edge of the Test Strip. Wait for 5 seconds and the Meter will display the test result.

OKmeter Control Solution containing a known amount of glucose that is used to confirm SuperCheck Pro Blood Glucose Meter and SuperCheck Pro Blood Glucose Test Strips are working properly together. Follow the same steps as above but replace the blood drop by OKmeter Control Solution.

OKmeter Control Solution and SuperCheck Pro Blood Glucose Test Strips could be separately bought.

Test Principle: VI.

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Image /page/5/Picture/0 description: The image shows the logo for Kbiotech. The logo features a stylized letter K with an orbital design around it, followed by the text "biotech" in a bold, sans-serif font. Below the company name is the company's name in Chinese characters.

The SuperCheck Pro Blood Glucose Monitoring System (Model OK-2MJB) measures the amounts of glucose in whole blood quantitative using fresh capillary whole blood from the fingertip and alternative sites including palm, forearm, upper arm, calf, and thigh. Amperometric technology is used for the detection of glucose from the strip with whole blood sample on the meter. Reagent consisting of glucose dehydrogenase with its cofactor flavin adenine dinucleotide (GDH-FAD) and mediator is deposited onto the reaction area of the test strip with carbon printed electrodes. The testing is based on the measurement of electrical current generated by the reaction of capillary whole blood glucose with the enzyme, GDH-FAD, on the test strip. The meter measures the strength of the current which is proportional to the amounts of glucose in the sample and displays the corresponding blood glucose concentration.

VII. Comparison of Technological Characteristics with the Predicate Device

SuperCheck Pro Blood Glucose Monitoring System shares either same or similar intended use, design, performance, and functions of the predicate devices and is therefore substantially equivalent to the predicated device.

Comparison ItemsNew devicePredicate device (K171785)
Name of manufacturerOK Biotech Co., Ltd.Biotest Medical Corp.
Proprietary NameSuperCheck Pro Blood
Glucose Monitoring SystemWowGoHealth Blood Glucose
Monitoring System
Model No.OK-2MJBGSH-BGM902
Product CodeNBWNBW
Type of use-Over-the-CounterOver-the-Counter
Similarities
Intended UseThe SuperCheck Pro Blood
Glucose Monitoring System is
comprised of the SuperCheck
Pro Blood Glucose Meter and
SuperCheck Pro Blood
Glucose Test Strips.
The SuperCheck Pro Blood
Glucose Monitoring System is
intended for use in the
quantitative measurement of
glucose in fresh capillary
whole blood from the finger,
forearm, upper arm, calf,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
Comparison ItemsNew devicePredicate device (K171785)
thigh, or palm. It is intended to
be used by a single person and
should not be shared. The
SuperCheck Pro Blood
Glucose Monitoring System is
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 a diabetes control program.
The SuperCheck Pro Blood
Glucose Monitoring System is
not intended for the diagnosis
of or screening for diabetes
mellitus, nor for use with
neonates.
Alternative site testing should
be done only during steady-
state conditions (when blood
glucose is not changing
rapidly).(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).
Specimen TypeCapillary whole bloodCapillary whole blood
Detecting Range20600 mg/dL (1.133.3
mmol/L)20600 mg/dL (1.133.3
mmol/L)
Response Time5 seconds5 seconds
Power RequirementsTwo 1.5V AAA alkaline
batteriesTwo 1.5V AAA alkaline
batteries
Dimensions100 mm (L) x 50 mm (W) x
20 mm (H)
Approximate 69 g100 mm (L) x 50 mm (W) x
20 mm (H)
Approximate 69 g
Voice FunctionNoNo
Average calculation
(specify)7, 14, 28, 60 and 90 days7, 14, 28, 60 and 90 days
Insufficient Blood
WarningYesYes
Eject ButtonYesYes
Comparison ItemsNew devicePredicate device (K171785)
EnzymeFlavin adenine dinucleotide-
glucose dehydrogenase (FAD-GDH)Flavin adenine dinucleotide-
glucose dehydrogenase (FAD-GDH)
HCT Range20-60%20-60%
PC LinkNoNo
DownloadableBluetoothBluetooth
Bluetooth data
transmission APPWOWGOHEALTH APPWOWGOHEALTH APP
CodingNoNo
Differences
Test StripsSuperCheck Pro Blood
Glucose Test StripsWowGoHealth Blood Glucose
Test Strip
Sample Volume0.5 μL1.1 μL
Alternate-Site Testing
(AST)palm, forearm, upper arm,
calf, and thigh.Forearm
Control SolutionOKmeter Control SolutionWowGoHealth Control
Solution
Operating Condition50104°F (1040°C),
10~85% RH
Altitude ≤ 11,161 ft (3,402 m) above the sea level50104°F (1040°C),
20~80% RH
Altitude ≤ 10,744 ft (3,275 m) above the sea level
Strips Storage
Conditions39104°F (440°C) /
10~85% R.H. (strip included)35.686°F (230°C) /
20~80% R.H. (strip included)
Control Solution
Storage Conditions3986°F (430°C )
(control solution included)35.686°F (230°C)
(control solution included)
Memory Storage1000 measurements with day
and time500 measurements with day
and time
Expiration for stripStorage : 30 months
In-Use : 180 daysStorage : 5 months
In-Use : 3 months
Expiration for control
solutionStorage: 18 months
In-Use: 90 daysStorage: 24 months
In-Use: 3 months

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Image /page/6/Picture/0 description: The image shows the logo for Kbiotech. The logo consists of a stylized "K" with three overlapping circles around it, followed by the word "biotech" in a smaller font. Below the logo is Chinese text, which is the name of the company in Chinese.

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Image /page/7/Picture/0 description: The image shows the logo for "Kbiotech". The logo consists of a stylized letter "K" with a ring around it, followed by the word "biotech" in a bold, sans-serif font. Below the English text is Chinese text, which is smaller in size.

Summary of Testing VIII.

Non-clinical and clinical studies were conducted to test, verify, and validate the performance of the proposed device according to FDA Guidance issued on September 29, 2020: Self-Monitoring Blood Glucose Test Systems for Over-the-Counter Use and other relevant standards. Results from these studies show that all performance criteria were met.

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Image /page/8/Picture/0 description: The image shows the logo for Kbiotech. The logo features a stylized letter K with three rings around it, followed by the word "biotech" in a bold, sans-serif font. Below the word "biotech" is the company's name in Chinese characters.

Non-Clinical Testing Summary: Design verification and validation testing was performed to ensure that the SuperCheck Pro Blood Glucose Monitoring System (Model OK-2MJB) met design specifications and requirements. Testing activities included electrical/mechanical safety tests, functional performance tests (precision, linearity, interference, flex studies) as well as disinfection, cleaning, and robustness studies. Software validation was performed for this moderate level of concern device per FDA Guidance Content of Premarket Submissions for Software Contained in Medical Devices.

Clinical Testing Summary: A user evaluation confirmed the system accuracy, operation according to design, and ease of use to support the intended use as described in the proposed labeling.

IX. Conclusion

Based on the information provided in this submission, it was concluded that the SuperCheck Pro Blood Glucose Monitoring System (Model OK-2MJB) is substantially equivalent to the predicate device.