K Number
K011867
Device Name
LIQUID ASSAYED MULTIQUAL CONTROL LEVEL1 #981600; LEVEL 2 #981700; LEVEL 3 #981800
Manufacturer
Date Cleared
2001-07-12

(28 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Liquid Assayed Multiqual® Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for analytes listed in the package insert.
Device Description
Liquid Assayed Multiqual® Control is prepared from human serum to which purified biochemical material (tissue extracts of human and animal origin) chemicals, drugs, preservatives and stabilizers have been added. The control is provided in liquid form for convenience.
More Information

Not Found

No
The document describes a quality control serum for laboratory testing and does not mention any AI or ML components.

No
Explanation: This device is a quality control substance used in laboratory testing to monitor the precision of procedures, not to diagnose, treat, or prevent disease in a patient.

No
Explanation: The device is a quality control serum used to monitor the precision of laboratory testing procedures, not to diagnose a patient's medical condition directly.

No

The device is a liquid control material, which is a physical substance used in laboratory testing, not a software program.

Based on the provided information, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use explicitly states it's for "monitoring the precision of laboratory testing procedures for analytes listed in the package insert." This is a classic function of an IVD - to assess the performance of other diagnostic tests.
  • Device Description: It's a "quality control serum" used in "laboratory testing procedures." Quality control materials used in laboratory testing fall under the definition of IVDs.
  • Nature of the Material: It's prepared from human serum with added biochemical materials, chemicals, drugs, preservatives, and stabilizers. This composition is typical of materials used to mimic patient samples for testing purposes.

The fact that it's used to monitor the precision of laboratory tests, rather than directly diagnosing a patient condition, is a key characteristic of a quality control IVD.

N/A

Intended Use / Indications for Use

Liquid Assayed Multiqual® Control is intended for use as an assayed quality Elquia Aseayou manifar the precision of laboratory testing procedures for analytes listed in the package insert.

Product codes

75JJY

Device Description

Liquid Assayed Multiqual® Control is prepared from human serum to which purified biochemical material (tissue extracts of human and animal origin) chemicals, drugs, preservatives and stabilizers have been added. The control is provided in liquid form for convenience.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Stability studies have been performed to determine the open vial stability and shelf life for the Liquid Assayed Multiqual® Control. Product claims are as follows:

  • Open vial: Once the control material is thawed and opened, all analytes will be stable for 14 days when stored tightly capped at 2-8℃ with the following exceptions: Total bilirubin will be stable for 10 days and LAP Arvlamidase will be stable for 3 days. Avoid repeated freezing and thawing of the quality control material.
  • Closed vial: When the control material is thawed and stored unopened at 2-8°C, all analytes will be stable for 30 days with the following exceptions: Total bilirubin values may decrease; alkaline Phosphatase activity may rise. The control must be stored frozen when using AST methods without pyridoxal-5-phosphate.
  • Shelf life: Three years when stored at -20°C or colder. For optimum performance, avoid storage in a frost-free freezer. Store vials away from the light.
    Real time studies will be ongoing to support the shelf life of this product.
    All supporting data is retained on file at Bio-Rad Laboratories.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K923633

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

Bio-Rad Laboratories
Premarket Notification Section 510(k) for Liquid Assayed Multiqual Control
Summary of Safety and Effectiveness

KOII867

Page 1 of 3

Summary of Safety and Effectiveness Liquid Assayed Multiqual® Control Levels 1, 2 and 3

1.0 Submitter

Bio-Rad Laboratories 9500 Jeronimo Road, Irvine, California 92618-2017 Telephone: (949) 598-1200 (949) 598-1555 Fax:

Contact Person

Ofelia Cachola Regulatory Affairs Specialist Telephone: (949) 598-1287

Date of Summary Preparation

June 8, 2001

2.0 Device Identification

Liquid Assayed Multiqual® Control Levels 1, 2 and 3 Product Trade Name: Multi-Analyte Controls, (Assayed and unassayed) Common Name:

Classifications: Class I 75JJY Product Code: CFR 862.1660 Regulation Number:

3.0 Device to Which Substantial Equivalence is Claimed

MULTIQUAL® ASY I, II, III Ciba Corning Diagnostics Corp. (Bio-Rad Laboratories) Irvine, California

Docket Number: K923633

4.0 Description of Device

Liquid Assayed Multiqual® Control is prepared from human serum to which purified biochemical material (tissue extracts of human and animal origin) chemicals, drugs, preservatives and stabilizers have been added. The control is provided in liquid form for convenience.

1

Statement of Intended Use 5.0

Liquid Assayed Multiqual® Control is intended for use as an assayed quality Elquia Aseayou manifar the precision of laboratory testing procedures for analytes listed in the package insert.

Comparison of the new device with the Predicate Device 6.0

The new Liquid Assayed Multiqual® Control claims substantial equivalence to the MULTIQUAL ASY I, II, III (K923633).

Bio RadBio Rad
CharacteristicsLiquid Assayed Multiqual® Control
Levels 1, 2 and 3
(New Device)Liquid Assayed Multiqual® Control
Levels 1, 2 and 3
(Predicate Device)
Similarities
Intended UseLiquid Assayed Multiqual® 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.Use Multiqual® quality control material,
assayed, to monitor the precision and the
accuracy of general chemistry,
immunochemistry, and therapeutic drug
monitoring test procedures.
FormLiquidLiquid
MatrixHuman serum basedHuman serum based
Storage
(Unopened Frozen)-20°C or colder
until expiration dateBelow -10 °C
until expiration date
Storage
(Unopened Thawed)2-8° C
30 days with the following exceptions:
Total bilirubin values may decrease.
Alkaline phosphatase activity may rise.
The control must be stored frozen when
using AST methods without pyridoxal-5-
phosphate.2-8° C
30 days with the following exceptions:
Total bilirubin values may decrease.
Alkaline phosphatase activity may rise.
The control must be stored frozen when
using AST methods without pyridoxal-5-
phosphate.
Differences
Open, Vial
Claim2-8° C for 14 days with the following
exceptions: Total bilirubin will be stable
for 10 days and LAP Arylamidase will be
stable for 3 days.2-8° C for 14 days with the following
exceptions: Total bilirubin will be stable for
10 days.
AnalytesSame analytes as the predicate device
with additional claims for the following:
Acetaminophen, Alpha-1-Antitrypsin,
Amikacin, Amylase (Pancreatic),
Apolipoprotein A, Apolipoprotein B, C3
Complement, C4 Complement,
Ceruloplasmin, Cholesterol-LDL, CK-MB
Isoenzyme, Copper, Globulin,Refer to the substantially equivalent
product insert.
Haptoglobin, Immunoglobulins (IgA, IgG,
IgM), LAP-Arylamidase, Prealbumin,
Prostatic Acid Phosphatase, Protein
Electrophoresis and Transferrin.

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

06_SSE_Mult_9816_6/0

2

Summary of Performance Data 7.0

Stability studies have been performed to determine the open vial stability and shelf life for the Liquid Assayed Multiqual® Control. Product claims are as follows:

  • Open vial: Once the control material is thawed and opened, all analytes 7.1 . will be stable for 14 days when stored tightly capped at 2-8℃ with the following exceptions: Total bilirubin will be stable for 10 days and LAP Arvlamidase will be stable for 3 days. Avoid repeated freezing and thawing of the quality control material.
  • Closed vial: When the control material is thawed and stored unopened at 7.2 2-8°C, all analytes will be stable for 30 days with the following exceptions: Total bilirubin values may decrease; alkaline Phosphatase activity may rise. The control must be stored frozen when using AST methods without pyridoxal-5-phosphate.
  • Shelf life: Three years when stored at -20°C or colder. For optimum 7.3 performance, avoid storage in a frost-free freezer. Store vials away from the light.

Real time studies will be ongoing to support the shelf life of this product.

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

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a circular logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a stylized eagle symbol. The eagle is depicted with three overlapping wing shapes, suggesting movement or flight. The text is arranged so that "DEPARTMENT OF HEALTH & HUMAN SERVICES" is on the left side of the circle, and "USA" is on the right side.

ງປະ 1 2 2001

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Donna Chapman Quality Assurance/Regulatory Affairs Manager Bio Rad Laboratories 9500 Jeronimo Road Irvine, CA 92618-2017

Re:

510(k) Number: K011867 STO(R) Name: Liquid Assayed Multiqual® Control Levels 1, 2, and 3 Regulation Number: 862.1660 Regulatory Class: I, reserved Product Code: JJY Dated: June 8, 2001 Received: June 14, 2001

Dear Ms. Chapman:

We have reviewed your Section 510(k) notification of intent to market the device referenced we nave reviewed your books, be device is substantially equivalent to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device microute conmistor proc to has been reclassified in accordance with the provisions of the Amendinoms, of to devices and in t (Act). You may, therefore, market the device, subject to I coord i ood, Drug, and Coomistic Fre Act. The general controls provisions of the Act include the general connois provisions of and isting 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 (1 remance ripproval), it may of success the Code of Federal Regulations, Title 21, Parts 800 to 895. atiount four as novelvalent determination assumes compliance with the Good Manufacturing A substantially oqurvalences and (GMP) regulation (21 CFR Part 820) and that, through I ractive for Mourself ons, the Food and Drug Administration (FDA) will verify such periodic GMP inspocals.comply with the GMP regulation may result in regulatory action. In assumptions: Transity to compty with in the mouncements concerning your device in the Federal adultion, I Dri may publish caranse 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 any obtigation you mighting Control provisions, or other Federal laws or regulations.

4

This letter will allow you to begin marketing your device as described in your 510(k) prematket This letter will allow you to begin marketing our device of your device to a legally marketed
notification. The FDA finding of substantial equivals and thus, neemits your de notification. The FDA inding of substantar equiration of 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 CFF Part 801 and If you desire specific advice for your devices), please contact the Office of Compliance at
additionally 809.10 for in vitro diagnostic devices), please contact the office of additionally 809.10 for in Vito diaguosic as nothe promotion and advertising of your device, (301) 594-4588. Additionally, for questions of (301) 594-4639. Also, please note the regulation please contact the Office of Compliation at (301) 37 Teation" (21CFR 807.97). Other general entitled, "Misbranding by telefence to plemanter the Act may be obtained from the Division of Small
information on your responsibilities under the Act (201) M3, 6597 or st it information on your responsibilities miser (800) 638-2041 or (301) 443-6597 or at its
Manufacturers Assistance at its toll-free humansing transman tran't Manufacturers Assistance at ta ton areas - 12 ton = 7 / 4 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1

Sincerely yours,

Steven Butman

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

5

510 (k) Number (if known):____________________________________________________________________________________________________________________________________________________

Liquid Assayed Multiqual® Control Levels 1, 2 and 3 Device Name:

Indications for Use:

An assayed quality control serum to monitor the precision of laboratory
the first and the control to the diving his neekege insort An assayed quality outdres for analytes listed in the package insert.

Sean Cooper

(Division Sign-Off) y Devices Division of Clinical Laborator ﺎ ﺍ 510(k) Number

(Please DO NOT WRITE BELOW THE LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

or Prescription use_

Over-the Counter use_