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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name System, Test, Blood Glucose, Over The Counter
510(k) Number K120866
Device Name DA01 BLOOD GLUCOSE MONITORING SYSTEM
Applicant
Delbio Incorporation
3f, # 252, Shangying Rd.,Guishan Industrial Zone
Taoyuan,  TW 33341
Applicant Contact NICKY PAN
Correspondent
Delbio Incorporation
3f, # 252, Shangying Rd.,Guishan Industrial Zone
Taoyuan,  TW 33341
Correspondent Contact NICKY PAN
Regulation Number862.1345
Classification Product Code
NBW  
Subsequent Product Codes
CGA   JJX  
Date Received03/22/2012
Decision Date 12/11/2012
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Clinical Chemistry
510k Review Panel Clinical Chemistry
Statement Statement
FDA Review Decision Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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