TRI-TECH INC., EVACUATED BLOOD COLLECTION TUBE, GRAY STOPPER
K971111 · Tri-Tech, Inc. · JKA · Jun 16, 1997 · Clinical Chemistry
Device Facts
| Record ID | K971111 |
| Device Name | TRI-TECH INC., EVACUATED BLOOD COLLECTION TUBE, GRAY STOPPER |
| Applicant | Tri-Tech, Inc. |
| Product Code | JKA · Clinical Chemistry |
| Decision Date | Jun 16, 1997 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 862.1675 |
| Device Class | Class 2 |
Intended Use
Plasma or whole blood collection device where glycolytic inhibition of the specimen is required.
Device Story
Evacuated blood collection tube with gray stopper; used for collection of plasma or whole blood specimens. Device facilitates glycolytic inhibition of blood samples to maintain specimen stability for laboratory analysis. Used in clinical or laboratory settings by healthcare professionals or phlebotomists. Provides a stable sample for diagnostic testing; ensures accurate clinical decision-making by preventing glucose degradation in the specimen.
Clinical Evidence
No clinical data provided; device relies on established performance characteristics for blood collection tubes.
Technological Characteristics
Evacuated tube system; gray stopper indicates presence of glycolytic inhibitor (e.g., sodium fluoride/potassium oxalate). Sterile, single-use, vacuum-sealed glass or plastic tube. Standard phlebotomy form factor.
Indications for Use
Indicated for the collection of plasma or whole blood specimens in clinical settings where glycolytic inhibition is required to preserve sample integrity.
Regulatory Classification
Identification
A blood specimen collection device is a device intended for medical purposes to collect and to handle blood specimens and to separate serum from nonserum (cellular) components prior to further testing. This generic type device may include blood collection tubes, vials, systems, serum separators, blood collection trays, or vacuum sample tubes.
Related Devices
- K231237 — BD Vacutainer® Fluoride Blood Collection Tubes · Becton, Dickinson and Company · Jan 19, 2024
- K971236 — GREINER VACUETTE BLOOD COLLECTION TUBE · Greiner America, Inc. · May 12, 1997
- K971239 — GREINER VACUETTE BLOOD COLLECTION TUBE · Greiner America, Inc. · May 12, 1997
- K971221 — GREINER VACUETTE BLOOD COLLECTION TUBE · Greiner America, Inc. · May 2, 1997
Submission Summary (Full Text)
{0}
DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Food and Drug Administration
2098 Gaither Road
Rockville MD 20850
JUN 16
Bruce Martz
FDA Officer
Tri-Tech, Inc.
4019 Executive Park Boulevard, SE
Southport, North Carolina 28461
Re: K971111
Tri-Tech Inc., Evacuated Blood Collection Tube,
Gray Stopper
Regulatory Class: II
Product Code: JKA
Dated: May 21, 1997
Received: May 27, 1997
Dear Mr. Martz:
We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
{1}
Page 2
Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88), this device may require a CLIA complexity categorization. To determine if it does, you should contact the Centers for Disease Control and Prevention (CDC) at (770) 488-7655.
This letter will allow you to begin marketing your device as described in your 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 Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4588. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".
Sincerely yours,
Steven I. Gutman, M.D., M.B.A.
Director
Division of Clinical Laboratory Devices
Office of Device Evaluation
Center for Devices and Radiological Health
Enclosure
{2}
Page 2 of 2
510(k) Number (if known): K971111
Device Name: Evacuated Blood Collection Tube Gray Stopper
Indications For Use:
Plasma or whole blood collection device where glycolytic inhibition of the specimen is required.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use
(Per 21 CFR 801.109)
OR
Over-The-Counter Use
(Optional Format 1-2-96)