K Number
K090563
Date Cleared
2009-10-09

(221 days)

Product Code
Regulation Number
864.5425
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

HemosIL INR Validate is a tri-level quality control intended to monitor the accuracy of INR (International Normalized Ratio) reporting with designated HemosIL PT reagents on IL Coagulation Systems in conjunction with the ISIweb software.
HemosIL ISI Calibrate is a set of four certified plasmas intended to establish a laboratory's instrument/ reagent specific local ISI (International Sensitivity Index) and Mean Normal Prothrombin Time (MNPT) with designated Hemos)L PT reagents on IL Coagulation Systems in conjunction with the ISIweb software.
ISIweb Software is a web-based service to customers, used in conjunction with HemosIL INR Validate and HemosIL ISI Calibrate with designated HemosIL PT reagents on IL Coagulation Systems; whereby the PT seconds and INR results can be entered and calculated through a web-based interface (ISIweb software).
For in vitro diagnostic use.

Device Description

HemosIL INR Validate: The HemosIL INR Validate set consists of three control plasmas (Levels 1-3) with assigned INR (International Normalized Ratio) Reference Values in the range of 1.6 - 5.0, prepared using lyophilized citrated plasma from human donors on stable anti-vitamin K therapy (AVK). The reference INR values for each Level are reagent-specific for the IL coagulation systems. The plasma factors (II, VII, IX, X, PC & PS) in these controls are similar to levels normally expected in plasma from patients undergoing long-term oral anticoagulant therapy, together with the proteins induced by vitamin K antagonists (PIKVA inhibitors). The control plasmas of HemosIL INR Validate are run on a local instrument/reagent system using the manufacturer's lot-specific label ISI value and the laboratory's locally establishied lot-specific Mean Normal Prothrombin Time (MNPT). If the mean INRs of all the controls are within ± 15% of their assigned INR Reference Values as determined through the ISIweb, the PT/INR system is verified. If the mean INRs of the controls exceed ± 15% of their assigned INR Reference Values as determined through the ISIweb a new local ISI calibration is recommended using HemosIL ISI Calibrate. Verification of the new local ISI and MNPT is then performed by running the HemosIL INR Validate control plasmas a second time on the same instrument/reagent system with the local ISI and MNPT.
HemosIL ISI Calibrate: The HemosIL ISI Calibrate set contains four calibration plasmas (Levels A-D) with assigned INR (International Normalized Ratio) Reference Values in the range of 0.9 - 5.0 for standardizing the PT test on IL Coagulation Systems. These INR Reference Values are reagent specific for the IL Coagulation Systems. Level A is a lyophilized normal human pool produced from the selected citrated plasmas of healthy donors. Levels B-D are lyophilized citrated plasmas produced from a pool of human donors on long-term oral anticoagulant therapy (antivitamin K: AVK). The plasma factors (II, VII, IX, X, PC, & PS) are similar to those levels normally expected in plasma from patients undergoing long term oral anticoagulant therapy together with protein induced by vitamin K antagonists (PIVKA inhibitors). The calibrate plasmas from HemosIL ISI Calibrate are run on the laboratory's IL instrument/reagent system to establish a local ISI. The PT (sec) data is entered into the ISIweb, which generates a calibration curve from the PT and the INR Reference Values by plotting an orthogonal regression of LogINR (X-axis) vs. LogPT (Y-axis). The ISI and Mean Normal Prothrombin Time (MNPT) are derived from the slope and y-intercept of the curve as: ISI = T slope MNP, MNP = T O y-intercept.
ISIweb Software: When used in conjunction with HemosIL INR Validate, ISIweb will automatically calculate the mean INR for each control level and verify that the mean INR for each control level is within ± 15% of the assigned INR Reference Value. When used in conjunction with HemosIL ISI Calibrate, ISIweb will automatically calculate the mean PT and %CV value for each level. If the %CV for each level passes % CV specifications, the ISIweb generates a calibration curve from the PT and INR Reference Values by plotting an orthogonal regression of LogINR (X-axis) vs. LogPT (y-axis).

AI/ML Overview

Here's an analysis of the provided text to extract information about the acceptance criteria and the study that proves the device meets those criteria:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for the HemosIL INR Validate device revolve around the accuracy of INR reporting. The study mentioned focuses on the precision of the devices (HemosIL INR Validate and HemosIL ISI Calibrate).

Device/ParameterAcceptance CriteriaReported Device Performance (Precision Study)
HemosIL INR Validate
Accuracy of INR reporting (mean INRs of controls)If the mean INRs of all the controls are within ± 15% of their assigned INR Reference Values as determined through the ISIweb, the PT/INR system is verified. If the mean INRs exceed ± 15%, a new local ISI calibration is recommended.Precision Data (PT in Seconds, %CV) - Note: Actual INR values or deviation from assigned INR reference values are not explicitly provided in the summary data for direct comparison to the ±15% criterion. The precision data shows the consistency of PT measurements, which contribute to INR accuracy. Examples for HemosIL INR Validate (across various reagents/instruments/levels):- Within-Run %CV ranged from 0.4% to 4.1%.- Total %CV ranged from 1.5% to 4.4%. (Specific examples from the table are extensive, but these ranges represent the overall device performance as reported in the precision study.) Examples (RecombiPlasTin, ACL TOP, Level 1): Mean 28.1s, Within-Run %CV 1.2, Total %CV 1.5. (RecombiPlasTin 2G, ACL TOP, Level 3): Mean 53.2s, Within-Run %CV 4.1, Total %CV 4.4.
HemosIL ISI Calibrate
%CV for each calibration levelIf the %CV for each level passes % CV specifications, the ISIweb generates a calibration curve. (Specific %CV specifications are not explicitly stated in the provided text, but implied as a pass/fail condition for calibration curve generation).Precision Data (PT in Seconds, %CV) Examples for HemosIL ISI Calibrate (across various reagents/instruments/levels):- Within-Run %CV ranged from 0.1% to 4.4%.- Total %CV ranged from 1.1% to 4.9%. (Specific examples from the table are extensive, but these ranges represent the overall device performance as reported in the precision study.) Examples (RecombiPlasTin, ACL TOP, Level A): Mean 12.1s, Within-Run %CV 1.2, Total %CV 1.3. (RecombiPlasTin 2G, ACL TOP, Level D): Mean 50.8s, Within-Run %CV 4.4, Total %CV 4.9.

Note: The provided text outlines the procedure for verifying the PT/INR system using HemosIL INR Validate (the ±15% criterion), but the "Summary Performance Data" presented is primarily a precision study showing %CV values for PT measurements. It implies that these precision levels are acceptable for the device's intended function, but does not directly report on the ±15% INR accuracy for HemosIL INR Validate or the specific %CV passing specifications for HemosIL ISI Calibrate used to generate the calibration curve.

2. Sample Size for the Test Set and Data Provenance

  • Sample Size for Test Set: The precision study was conducted with N=80 per level for both HemosIL INR Validate (3 levels) and HemosIL ISI Calibrate (4 levels).
  • Data Provenance: Not explicitly stated (e.g., country of origin). The study involved "representative IL Coagulation Systems" and "HemosIL PT reagents." The nature of the study (precision of controls and calibrators) suggests prospective testing within a laboratory setting.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

Not applicable. This device is a diagnostic control/calibrator and software for an in vitro diagnostic test (PT/INR). The "ground truth" here would be the assigned INR Reference Values for the control plasmas and calibrators by the manufacturer. These values are established through rigorous manufacturing and assay procedures, not typically by expert adjudication of individual test results in the way it applies to image interpretation or clinical diagnosis. The reference values are inherent to the product.

4. Adjudication Method for the Test Set

Not applicable. As noted above, the "ground truth" for the test samples are the assigned reference values of the control and calibrator plasmas, not a consensus derived from expert adjudication of individual patient results.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was Done, and Effect Size

No. This is not an AI-assisted diagnostic device for human interpretation (e.g., image reading). It's a quality control and calibration system for a coagulation analyzer. Therefore, an MRMC comparative effectiveness study with human readers assisting with AI is not relevant and was not performed.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done

Yes, in a sense. The "ISIweb Software" performs automated calculations for INR verification and ISI calibration. The precision study evaluated the performance of the HemosIL INR Validate and HemosIL ISI Calibrate products in conjunction with IL Coagulation Systems, where the ISIweb software processes the raw PT data. The output (Mean Seconds, %CV) is from the system (reagents + instrument + software) functioning in a "standalone" or automated manner for its intended purpose. The software processes objective measurements (PT seconds) and applies pre-defined algorithms to calculate INR, ISI, MNPT, and verify control results.

7. The Type of Ground Truth Used

The ground truth used for these devices is primarily assigned reference values for the control plasmas and calibrator plasmas. These values are established by the manufacturer (Instrumentation Laboratory Co.) and are reagent-specific for the IL Coagulation Systems. For the HemosIL INR Validate, the controls have "assigned INR Reference Values." For the HemosIL ISI Calibrate, the calibrators also have "assigned INR Reference Values" which are used to establish a local ISI and MNPT. These reference values are traceable to international standards (e.g., WHO International Reference Preparations for Thromboplastins, as implied by the use of ISI).

8. The Sample Size for the Training Set

Not applicable in the conventional sense of an AI/ML training set. This device is a quality control and calibration system, not a machine learning algorithm that is "trained" on a dataset. The ISIweb software applies established mathematical algorithms (e.g., orthogonal regression for LogINR vs. LogPT) rather than a learned model.

9. How the Ground Truth for the Training Set Was Established

Not applicable, as there is no "training set" in the context of machine learning. The algorithms used by the ISIweb software are based on established scientific principles for INR and ISI calculation, following guidelines like CLSI H54-A and ISTH. The "ground truth" for these calculations is the mathematical relationship derived from these guidelines and the assigned reference values of the calibrator and control plasmas.

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510(k) Summary

Applicant Contact Information:

OCT - 9 2009

Applicant:Instrumentation Laboratory Co.
Address:113 Hartwell AvenueLexington, MA 02421
Contact Person:Carol Marble, Regulatory Affairs Director
Phone Number:781-861-4467
Fax Number:781-861-4207

Preparation Date: February 27, 2009

Device Trade Names (Products Sold Separately):

  • HemosIL® INR Validate HemosIL® ISI Calibrate
    ISIweb Software

Device Regulatory Information:

Controls:Class IIProduct Code: GGN21 CFR 864.5425
Calibrators:Class IIProduct Code: JIS21 CFR 862.1150

Predicate Devices:

HemosIL INR ValidateK010750Pacific Hemostasis INR Control Plasmas
HemosIL ISI CalibrateK041905HemosIL Calibration Plasma

Device Intended Uses:

  • HemosIL INR Validate is a tri-level quality control intended to monitor the accuracy of INR . (International Normalized Ratio) reporting with designated HemosIL PT reagents on IL Coagulation Systems in conjunction with the ISIweb software.
  • HemosIL ISI Calibrate is a set of four certified plasmas intended to establish a laboratory's ● instrument/reagent specific local ISI (International Sensitivity Index) and Mean Normal Prothrombin Time (MNPT) with designated HemosIL PT reagents on IL Coagulation Systems in conjunction with the ISIweb software.
  • ISIweb Software is a web-based service to customers, used in conjunction with HemosIL INR . Validate and HemosIL ISI Calibrate with designated HemosIL PT reagents on IL Coagulation Systems, whereby the PT seconds and INR results can be entered and calculated through a web-based interface (ISIweb software).

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Device Descriptions:

. HemosIL INR Validate

The HemosIL INR Validate set consists of three control plasmas (Levels 1-3) with assigned INR (International Normalized Ratio) Reference Values in the range of 1.6 - 5.0, prepared using lyophilized citrated plasma from human donors on stable anti-vitamin K therapy (AVK). The reference INR values for each Level are reagent-specific for the IL coagulation systems. The plasma factors (II, VII, IX, X, PC & PS) in these controls are similar to levels normally expected in plasma from patients undergoing long-term oral anticoagulant therapy, together with the proteins induced by vitamin K antagonists (PIKVA inhibitors).

The control plasmas of HemosIL INR Validate are run on a local instrument/reagent system using the manufacturer's lot-specific label ISI value and the laboratory's locally establishied lot-specific Mean Normal Prothrombin Time (MNPT).

  • . If the mean INRs of all the controls are within ± 15% of their assigned INR Reference Values as determined through the ISIweb, the PT/INR system is verified.
  • If the mean INRs of the controls exceed ± 15% of their assigned INR Reference Values . as determined through the ISIweb a new local ISI calibration is recommended using HemosIL ISI Calibrate. Verification of the new local ISI and MNPT is then performed by running the HemosIL INR Validate control plasmas a second time on the same instrument/reagent system with the local ISI and MNPT.
  • HemosIL ISI Calibrate .

The HemosIL ISI Calibrate set contains four calibration plasmas (Levels A-D) with assigned INR (International Normalized Ratio) Reference Values in the range of 0.9 - 5.0 for standardizing the PT test on IL Coagulation Systems. These INR Reference Values are reagent specific for the IL Coagulation Systems. Level A is a lyophilized normal human pool produced from the selected citrated plasmas of healthy donors. Levels B-D are lyophilized citrated plasmas produced from a pool of human donors on long-term oral anticoagulant therapy (antivitamin K: AVK). The plasma factors (II, VII, IX, X, PC, & PS) are similar to those levels normally expected in plasma from patients undergoing long term oral anticoagulant therapy together with protein induced by vitamin K antagonists (PIVKA inhibitors).

The calibrate plasmas from HemosIL ISI Calibrate are run on the laboratory's IL instrument/reagent system to establish a local ISI. The PT (sec) data is entered into the ISIweb, which generates a calibration curve from the PT and the INR Reference Values by plotting an orthogonal regression of LogINR (X-axis) vs. LogPT (Y-axis). The ISI and Mean Normal Prothrombin Time (MNPT) are derived from the slope and y-intercept of the curve as:

$$\mathsf{ISI} = \mathsf{T}\mathsf{slope}_{\mathsf{MNP}} \ \mathsf{MNP} = \mathsf{T}\mathsf{O}^{\mathsf{y}\text{-intercept}}$$

t ISIweb Software

When used in conjunction with HemosIL INR Validate, ISIweb will automatically calculate the mean INR for each control level and verify that the mean INR for each control level is within ± 15% of the assigned INR Reference Value.

When used in conjunction with HemosIL ISI Calibrate, ISIweb will automatically calculate the mean PT and %CV value for each level. If the %CV for each level passes % CV specifications, the ISIweb generates a calibration curve from the PT and INR Reference Values by plotting an orthogonal regression of LogINR (X-axis) vs. LogPT (y-axis).

Attachment B

K090563: HemosIL INR Validate, HemosIL ISI Calibrate, ISIweb

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Statement of Technological Characteristics of the Device Compared to Predicate Devices:

  • HemosIL INR Validate is substantially equivalent in performance and intended use to Pacific . Hemostasis INR Control Plasmas (K010750).
  • HemosIL ISI Calibrate is the same type of device as HemosIL Calibration Plasma and in . compliance with establishing a local ISI assignment following CLSI H54-A - Procedures for Validation of INR and Local ISI Calibration of PT/INR Systems or 1STH - Guidelines on preparation, certification, and use of certified plasmas for ISI calibration and INR determination.

Summary Performance Data:

A precision study conducted in accordance to CLSI EP05-A2 (20 days; 2 replicates per run; 2 runs per day; N=80 per level) on the three levels of HemosIL INR Validate and four levels of HemosIL ISI Calibrate using IL HemosIL PT reagents on representative IL Coagulation Systems:

HemosIL INR Validate (Levels 1-3)
ReagentInstrumentLevelMean(Seconds)Within-Run% CVTotal% CV
HemosILRecombiPlasTinACL TOP128.11.21.5
ACL 10000127.21.02.1
HemosILRecombiPlasTinACL TOP243.51.02.5
ACL 10000241.41.33.1
HemosILRecombiPlasTinACL TOP368.32.83.5
ACL 10000365.51.01.5
HemosILRecombiPlasTin 2GACL TOP122.32.02.5
ACL 10000121.20.91.9
HemosILRecombiPlasTin 2GACL TOP233.90.91.8
ACL 10000232.01.23.0
HemosILRecombiPlasTin 2GACL TOP353.24.14.4
ACL 10000351.41.22.0
HemosILPT-FibrinogenHS PLUSACL TOP124.71.32.5
ACL 10000124.50.71.7
HemosILPT-FibrinogenHS PLUSACL TOP235.41.62.7
ACL 10000234.61.22.2
HemosILPT-FibrinogenHS PLUSACL TOP350.53.54.2
ACL 10000348.01.53.4
HemosILPT-Fibrinogen HS*ACL 10000121.20.91.9
ACL 10000232.01.23.0
HemosILPT-Fibrinogen HS*ACL 10000351.41.22.0
HemosILPT-FibrinogenACL TOP116.60.42.1
ACL 10000117.50.72.2
HemosILPT-FibrinogenACL TOP221.00.43.4
ACL 10000222.40.73.6
HemosILPT-FibrinogenACL TOP327.50.43.9
ACL 10000329.81.94.1
  • Application not currently available for HemosIL PT-Fibrinogen HS on the ACL TOP family.

K090563: HemosIL INR Validate, HemosIL ISI Calibrate, ISIweb

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510(k) Summary (Cont.)

Summary Performance Data (Cont.):

:

HemosIL ISI Calibrate (Levels A-D)
ReagentInstrumentLevelMean(Seconds)Within-Run% CVTotal% CV
HemosILRecombiPlasTinACL TOPA12.11.21.3
ACL 10000A11.80.61.1
ACL TOPB29.50.81.2
ACL 10000B27.91.32.0
ACL TOPC43.70.71.2
ACL 10000C42.20.71.1
ACL TOPD68.84.44.6
ACL 10000D66.90.82.0
HemosILRecombiPlasTin 2GACL TOPA11.21.51.6
ACL 10000A10.70.81.2
ACL TOPB23.21.22.2
ACL 10000B21.41.32.2
ACL TOPC33.91.01.7
ACL 10000C31.61.02.0
ACL TOPD50.84.44.9
ACL 10000D48.51.02.2
HemosILPT-FibrinogenHS PLUSACL TOPA13.41.02.1
ACL 10000A13.51.22.1
ACL TOPB24.01.82.5
ACL 10000B23.71.14.2
ACL TOPC35.11.22.2
ACL 10000C35.21.11.8
ACL TOPD50.43.43.9
ACL 10000D50.10.82.0
HemosILPT-Fibrinogen HS*ACL 10000A10.70.11.2
ACL 10000B21.41.32.2
ACL 10000C31.61.02.0
ACL 10000D48.51.02.2
HemosILPT-FibrinogenACL TOPA11.70.91.8
ACL 10000A11.90.81.4
ACL TOPB16.00.42.3
ACL 10000B16.80.72.3
ACL TOPC20.70.32.9
ACL 10000C22.20.93.0
ACL TOPD26.60.43.7
ACL 10000D28.80.43.5
  • Application not currently available for HemosIL PT-Fibrinogen HS on the ACL TOP family.

・・・・

:

Attachment B

K090563: HemosIL INR Validate, HemosIL ISI Calibrate, ISIweb

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Image /page/4/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States of America. The seal features a stylized eagle with three stripes on its wing, symbolizing health, human services, and well-being. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-0609 Silver Spring, MD 20993-0002

OCT - 9 2009

Instrumentation Laboratory Co. c/o Carol Marble Regulatory Affairs Director 113 Hartwell Avenue Lexington, MA 02421

Re: K090563

Trade/Device Name: HemosIL INR Validate, HemosIL ISI Calibrate, and ISI web software Regulation Number: 21 CFR 864.5425 Regulation Name: Multipurpose system for in vitro coagulation studies Regulatory Class: Class II Product Code: GGN, JIS, JQP Dated: September 1, 2009

Received: September 2, 2009

Dear Ms. Marble:

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. 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.

If your device is classified (see above) into class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice

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Page 2 - Ms. Marble

requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. 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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

ia m chan

Maria M. Chan, Ph.D. Director Division of Immunology and Hematology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Indications for Use Statement

K090563 510(k) Number (if known):

Device Name:

HemosIL® INR Validate HemosIL® ISI Calibrate ISIweb Software

Indications for Use:

  • � HemosIL INR Validate is a tri-level quality control intended to monitor the accuracy of INR (International Normalized Ratio) reporting with designated HemosIL PT reagents on IL Coagulation Systems in conjunction with the ISIweb software.
  • HemosIL ISI Calibrate is a set of four certified plasmas intended to establish a laboratory's . instrument/ reagent specific local ISI (International Sensitivity Index) and Mean Normal Prothrombin Time (MNPT) with designated Hemos)L PT reagents on IL Coagulation Systems in conjunction with the ISIweb software.
  • ISIweb Software is a web-based service to customers, used in conjunction with HemosIL INR . Validate and HemosIL ISI Calibrate with designated HemosIL PT reagents on IL Coagulation Systems; whereby the PT seconds and INR results can be entered and calculated through a web-based interface (ISIweb software).

For in vitro diagnostic use.

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

OR

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K090563

Attachment A HemosIL INR Validate, HemosIL ISI Calibrate, ISIweb Software 510(k) Page 1 of 1

§ 864.5425 Multipurpose system for in vitro coagulation studies.

(a)
Identification. A multipurpose system for in vitro coagulation studies is a device consisting of one automated or semiautomated instrument and its associated reagents and controls. The system is used to perform a series of coagulation studies and coagulation factor assays.(b)
Classification. Class II (special controls). A control intended for use with a multipurpose system for in vitro coagulation studies is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 864.9.