K Number
K122838

Validate with FDA (Live)

Date Cleared
2012-10-17

(30 days)

Product Code
Regulation Number
862.1660
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.

Device Description

Liquichek Immunoassay Plus Control is prepared from human serum with added constituents of human and animal origin, chemicals, therapeutic drugs, stabilizers and preservatives. The control is provided in liquid form for convenience. Each human donor unit used to manufacture this control was tested by FDA accepted methods and found non-reactive for Hepatitis B Surface Antigen (HBsAg), antibody to Hepatitis C (HCV) and antibody to HIV-1/HIV-2. This product may also contain other human source material for which there are no approved tests.

AI/ML Overview

This submission describes the Liquichek Immunoassay Plus Control, a quality control serum for laboratory testing. The primary focus of the provided text is on demonstrating substantial equivalence to a predicate device and outlining stability studies.

1. Table of Acceptance Criteria and Reported Device Performance

Study TypeAcceptance CriteriaReported Device Performance
Thawed Opened StabilityRecovery result on final day (T_final) is ± 10% of the recovery result of freshly opened vial (T_zero)4 days at 2 to 8°C (meets criteria as this is the claimed stability)
Thawed Unopened StabilityRecovery result on final day (T_final) is ± 10% of the recovery result of freshly opened vial (T_zero)4 days at 2 to 8°C (meets criteria as this is the claimed stability)
Shelf Life Stability (unopened)Recovery result on final day (T_final) is ± 10% of the recovery result of freshly opened vial (T_zero)28 Months at -20°C to -50°C (meets criteria as this is the claimed stability)

2. Sample Size for Test Set and Data Provenance

The document does not explicitly state the sample size (number of vials or runs) for the stability studies. It mentions "a representative sampling of this lot of product" was used for value assignment and, by implication, for the stability studies.

Data provenance is from Bio-Rad Laboratories, the manufacturer based in Irvine, California, USA. The studies appear to be prospective as they were conducted to establish claims for the new device.

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

This information is not provided in the document. The "ground truth" for the stability studies on a quality control material would typically involve laboratory measurements and statistical analysis, rather than expert interpretation in the way a diagnostic image might. The document states that "The tests listed were performed by the manufacturer and/or independent laboratories."

4. Adjudication Method for the Test Set

This information is not provided. Given the nature of stability studies for a control material, a traditional adjudication method (like 2+1, 3+1 for clinical images) is not applicable. The acceptance criteria are based on quantitative recovery results.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

An MRMC study was not performed. This type of study is typically relevant for diagnostic imaging systems where human readers interpret results, and the AI's impact on their performance is being evaluated. This device is a quality control material, not a diagnostic AI system for interpretation.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

A standalone performance study in the context of an AI algorithm was not performed. The "performance" studies described are stability studies for a laboratory control material, which inherently describe the material's performance over time. The device itself is not an algorithm that produces interpretations or diagnoses.

7. Type of Ground Truth Used

For the stability studies, the "ground truth" is defined by the initial recovery results of freshly opened vials (T_zero) for each analyte, which are then compared to subsequent measurements (T_final). These are objective quantitative measurements obtained through laboratory testing using manufacturer-supported reagents and methods.

8. Sample Size for the Training Set

This information is not applicable/not provided. The device is a quality control material, not an AI algorithm that requires a "training set" in the conventional machine learning sense. The "value assignment" for the control material is derived from "replicate analyses," but this is not a training set for an algorithm.

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

This information is not applicable/not provided as there is no "training set" for an AI algorithm. The "mean values and the corresponding ±3SD ranges printed in this insert were derived from replicate analyses" performed by the manufacturer and/or independent laboratories.

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Summary of Safety and Effectiveness

Liquichek Immunoassay Plus Control

OCT 17 2012

1.0 Submitter

Bio-Rad Laboratories 9500 Jeronimo Road, Irvine, California 92618-2017 Telephone: (949) 598-1200 (949) 598-1557 Fax:

Contact Person

Suzanne Parsons Regulatory Affairs Manager Telephone: (949) 598-1467

Date of Summary Preparation

October 16, 2012

2.0 Device Identification

Product Trade Name:Liquichek Immunoassay Plus Control
Common Name:Multi-Analyte Controls, All Kinds (Assayed)
Classifications:Class I
Product Code:JJY
Regulation Number:21 CFR 862.1660

Device to Which Substantial Equivalence is Claimed 3.0

Liquichek Immunoassay Plus Control Bio-Rad Laboratories Irvine, California

510 (k) Number: K001373

4.0 Description of Device

Liquichek Immunoassay Plus Control is prepared from human serum with added constituents of human and animal origin, chemicals, therapeutic drugs, stabilizers and preservatives. The control is provided in liquid form for convenience.

Each human donor unit used to manufacture this control was tested by FDA accepted methods and found non-reactive for Hepatitis B Surface Antigen (HBsAg), antibody to Hepatitis C (HCV) and antibody to HIV-1/HIV-2. This product may also contain other human source material for which there are no approved tests.

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5.0 Value Assignment

The mean values and the corresponding ±3SD ranges printed in this insert were derived from replicate analyses and are specific for this lot of product. The tests listed were performed by the manufacturer and/or independent laboratories using manufacturer supported reagents and a representative sampling of this lot of product. It is recommended that each laboratory establish its own acceptable ranges and use those provided only as guides. Laboratory established ranges may vary from those listed during the life of this control. Variations over time and between laboratories may be caused by differences in laboratory technique, instrumentation and reagents, or by manufacturer test method modifications

6.0 Intended Use

Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert.

7.0 Comparison of the new device with the Predicate Device

Liguichek Immunoassay Plus Control claims substantial equivalence to the Liquichek Immunoassay Plus Control currently in commercial distribution (K001373). Table 1 (below) contains comparison information of similarities and differences between the new and predicate device to which substantial equivalence is claimed.

CharacteristicsLiquichek Immunoassay Plus Control(New Device)Liquichek Immunoassay Plus Control(Predicate Device, K001373)
Similarities
Intended UseLiquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert.Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert.
MatrixHuman SerumHuman Serum
FormLiquidLiquid
Differences
Fill VolumeLevel 1, 2 and 3 - 12 x 2.5 mLTrilevel MiniPak - 3 x 2.5 mLLevel 1, 2 and 3- 12 x 5 mLTrilevel MiniPak - 3 x 10 mL
Thawed OpenedStability4 days at 2 to 8°C14 days at 2°C to 8 °CExcept Folate: 4 days at 2 to 8°CEstradiol: 5 days at 2 to 8°C
ThawedUnopenedStability4 days at 2 to 8°C30 days at 2 to 8°CExcept Folate: 4 days at 2 to 8°CEstradiol: 8 days at 2 to 8°CFree PSA, PSA, Prolactin: 14 days at 2 to 8°C
Storage unopened(Shelf life)-20°C to -50°C until expiration date-20°C to -70°C until expiration date

Table 1. Similarities and Differences between new and predicate device.

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Bio-Rad Laboratories Premarket Notification Section 510 (k) Liquichek Immunoassay Plus Control

AnalytesContains:Contains:
AcetaminophenLithium17-AlphaHydroxyprogesteroneImipramine
Alpha FetoproteinN-Acetylprocainamide11-DeoxycortisolInsulin
AmikacinPhenobarbital25-Hydroxy Vitamin DIron
CaffeinePhenytoinAcetaminophenLuteinizing Hormone
CarbamazepineProcainamideAlpha FetoproteinLidocaine
Carcinoembryonic AntigenProlactinAldosteroneLithium
CK-MB IsoenzymeProstate Specific AntigenAmikacinN-Acetylprocainamide
DigoxinProstate SpecificAntigen, FreeAmiodaroneNetilmicin
EstradiolSalicylateAmitriptylineNortriptyline
FerritinT3, FreeAndrostenedioneProstatic AcidPhosphatase
FolateT3, TotalAngiotensin IPhenobarbital
Follicle Stimulating HormoneT3 Uptake/T UptakeAntithyroid PeroxidaseAntibodiesPhenytoin
GentamicinT4, FreeAntithyroglobulinantibodyPhenytoin, Free
Human Chorionic Gonadotropin-Beta SubunitT4, TotalCaffeinePrimidone
Immunoglobulin ATheophyllineCarbamazepineProcainamide
Immunoglobulin ETobramycinCarbamazepine, FreeProgesterone
Immunoglobulin GThyroid StimulatingHormoneCarcinoembryonicAntigenProlactin
Immunoglobulin MValproic AcidChloramphenicolPropanolol
IronVancomycinCK-MB IsoenzymeProstate SpecificAntigen
Luteinizing HormoneVitamin B12CortisolProstatic SpecificAntigen, Free
LidocaineCyclosporineParathyroidHormone - MM
DesipramineQuinidine
Does not Contain:DehydroepiandrosteroneSalicylate
17-Alpha HydroxyprogesteroneHuman Growth HormoneDehydroepiandrosteroneSulfateSex HormoneBinding Globulin
11-DeoxycortisolIbuprofenDigoxinSomatomedin-C
25-Hydroxy Vitamin DImipramineDisopyramideT3, Free
AldosteroneInsulinEstradiolT3, Total
AmiodaroneNetilmicinEstriol, FreeT3 Uptake/T Uptake
AmitriptylineNortriptylineEstrogen, TotalT4, Free
AndrostenedioneProstatic AcidPhosphataseEthosuximideT4, Total
Angiotensin IPhenytoin, FreeEstriol, TotalThyroxine BindingGlobulin
Antithyroid PeroxidaseAntibodiesPrimidoneFerritinTestosterone
Antithyroglobulin antibodyProgesteroneFlecainideTestosterone, Free
Carbamazepine, FreePropanololFolateTheophylline
ChloramphenicolParathyroid Hormone -MMFollicle StimulatingHormoneTobramycin
CortisolQuinidineFructosamineTotal Iron BindingCapacity
CyclosporineSex Hormone Binding.GlobulinGentamicinThyroid StimulatingHormone
DesipramineSomatomedin-CHuman ChorionicGonadotropinTricyclicAntidepressantsScreen
DehydroepiandrosteroneThyroxine BindingGlobulinHuman ChorionicGonadotropin -BetaSubunitThyroglobulin
Dehydroepiandrosterone SulfateTestosteroneHuman Growth HormoneValproic Acid
DisopyramideTestosterone, FreeIbuprofenValproic Acid, Free
Estriol, FreeTotal Iron BindingCapacityImmunoglobulin AVancomycin
Estriol, TotalTricyclic AntidepressantsScreenImmunoglobulin EVitamin B12
Estrogen, TotalThyroglobulinImmunoglobulin G
EthosuximideValproic Acid, FreeImmunoglobulin M
Flecainide
Fructosamine
Human Chorionic Gonadotropin

Statement of Supporting Data 8.0

Stability studies have been performed for Liquichek Immunoassay Plus Control to determine following claims:

Thawed Opened Stability: 4 days at 2 to 8°C 4 days at 2 to 8°C. Thawed Unopened Stability: Shelf Life Stability: 28 Months at -20°C to -50°C

The acceptance criteria for above studies is defined as the recovery result on final day (TFna) being ± 10% of the recovery result of freshly opened vial (Tzero).

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.

9.0 Conclusion

Liquichek Immunoassay Plus Control is intended to be used for the same purpose as the predicate device. It has human serum matrix and performs similarly as the predicate device.

All supporting data is retained on file at Bio-Rad Laboratories.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized eagle or bird in flight, with human profiles incorporated into the design.

10903 New Hampshire Avenue Silver Spring, MD 20993

Bio-Rad Laboratories c/o Suzanne Parsons 9500 Jeronimo Road Irvine, CA 92618-2017

K122838 Re:

Trade Name: Liquichek Immunoassay Plus Control Regulation Number: 21 CFR §862.1660 Regulation Name: Quality Control Material (assayed and unassayed) Regulatory Class: Class I, reserved Product Codes: JJY Dated: September 13, 2012 Received: September 17, 2012

Dear Suzanne Parsons:

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 either class II (Special Controls) or class III (PMA), 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 requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

OCT 17 2012

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Page 2

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of In Vitro Diagnostic Devices and Radiological Health at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH'S Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (301) 796-576-. For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/Medical

Devices/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) 796-5680 or at its Internet address http://www.fda/gov/MedicalDevices/ResourcesforYou/Industry/default.htm

Sincerely yours,

/

Courtney H. Lias, Ph.D Director Division of Chemistry and Toxicology Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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Indications for Use Form

510(k) Number (if known):

K122838

Device Name:

Liquichek Immunoassay Plus control

Indications for Use:

Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

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

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

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

Rutd Clu

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety 122838 510(K)

§ 862.1660 Quality control material (assayed and unassayed).

(a)
Identification. A quality control material (assayed and unassayed) for clinical chemistry is a device intended for medical purposes for use in a test system to estimate test precision and to detect systematic analytical deviations that may arise from reagent or analytical instrument variation. A quality control material (assayed and unassayed) may be used for proficiency testing in interlaboratory surveys. This generic type of device includes controls (assayed and unassayed) for blood gases, electrolytes, enzymes, multianalytes (all kinds), single (specified) analytes, or urinalysis controls.(b)
Classification. Class I (general controls). Except when intended for use in donor screening tests, quality control materials (assayed and unassayed) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.