K Number
K013265

Validate with FDA (Live)

Date Cleared
2001-11-20

(50 days)

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

The VALIDATE Chem 7 Calibration Test Set is intended for in vitro diagnostic use in quantitatively verifying calibration, validating reportable ranges, and determining linearity in automated, semi-automated and manual chemistry systems for the following analytes: iron, creatinine, ammonia, and ethanol.

Device Description

VALIDATE Chem 7 Calibration Verification Test Set is an aqueous based calibration verification test set containing multiple levels used to establish the relationship between theoretical operation and actual performance of the included analytes. Each set contains one bottle each of six (6) levels, including zero. Each bottle contains 5 milliliters.

AI/ML Overview

The provided text describes the VALIDATE Chem 7 Calibration Verification Test Set and its comparison to predicate devices, but it does not explicitly state acceptance criteria in numerical thresholds or specific performance metrics other than correlation coefficients.

The study aims to demonstrate substantial equivalence to existing predicate devices, rather than meeting specific predefined performance targets set by the manufacturer. The core of the "acceptance criteria" here is that the device's performance is comparable to that of the previously cleared predicate devices.

Here's the information requested, based on the provided text, with acknowledgments of what is not present:


1. Table of Acceptance Criteria and Reported Device Performance

As mentioned, explicit numerical acceptance criteria for correlation coefficient, beyond demonstrating "functional equivalence" to predicate devices, are not provided. The acceptance criterion is implicit: the device's performance (correlation coefficient and regression equation) should be similar to or better than that of the predicate devices.

AnalyteCharacteristic/MetricAcceptance Criteria (Implied: Substantial Equivalence to Predicate)VALIDATE Chem 7 Reported PerformancePredicate Device Reported Performance (Example: DOCUMENT Iron, Magnesium, Triglyceride CAL•VER)
Iron (FE)Correlation Coefficient (r)"Functionally equivalent" to predicate device's r0.999970.99979
Regression Equation"Functionally equivalent" to predicate device's resultY = 0.327 + 1.001XY = -5.539 + 1.007X
Creatinine (CRE)Correlation Coefficient (r)"Functionally equivalent" to predicate device's r0.999520.99987 (from DOCUMENT Multi-Analyte CAL•VER)
Regression Equation"Functionally equivalent" to predicate device's resultY = 0.091 + 0.983XY = -0.099 + 1.007X (from DOCUMENT Multi-Analyte CAL•VER)
Ammonia (NH3)Correlation Coefficient (r)"Functionally equivalent" to predicate device's r0.999940.99809 (from DOCUMENT Ammonia/Ethanol CAL•VER)
Regression Equation"Functionally equivalent" to predicate device's resultY = -0.363 + 1.019XY = -11.616 + 1.074X (from DOCUMENT Ammonia/Ethanol CAL•VER)
Ethanol (ETOH)Correlation Coefficient (r)"Functionally equivalent" to predicate device's r0.999980.99872 (from DOCUMENT Ammonia/Ethanol CAL•VER)
Regression Equation"Functionally equivalent" to predicate device's resultY = -0.159 + 1.009XY = -1.261 + 1.04X (from DOCUMENT Ammonia/Ethanol CAL•VER)

2. Sample size used for the test set and the data provenance

  • Sample Size (Test Set): The document states that the analytes were "tested in triplicate" for the linear regression analysis. It also mentions "six (6) levels, including zero" for the device. Therefore, the test set likely involved 6 levels * 3 replicates = 18 measurements for each analyte to generate the linear regression data. The predicate devices also use 5 levels.
  • Data Provenance: The document does not explicitly state the country of origin. It indicates that the study used "pre-production lots of VALIDATE Chem 7 Calibration Verification Test Set" on a "Beckman CX instrument system". The study appears to be prospective in nature, as it involved testing pre-production lots.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable. This device is a calibration verification test set, not a diagnostic device requiring expert interpretation of results to establish ground truth. The "ground truth" for linearity and calibration verification in this context is established by the known concentrations/relationships of the levels within the test sets themselves and the analytical methods used to measure them on the instrument.


4. Adjudication method for the test set

Not applicable. As noted above, this study does not involve expert adjudication as it is a performance study for a calibration verification material on an instrument, not a diagnostic interpretation study.


5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This is not a diagnostic imaging or reader study. It is a performance study for an in vitro diagnostic (IVD) calibrator/control material. The concept of "human readers" or "AI assistance" is irrelevant to the function of this device.


6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Yes, in essence, the study is a "standalone" or "algorithm only" performance evaluation of the VALIDATE Chem 7 Calibration Verification Test Set, where the "algorithm" is the chemistry analyzer (Beckman CX instrument system) measuring the prepared samples. There is no human interpretation involved in the measurement process itself, only in the setup and analysis of the data.


7. The type of ground truth used

The ground truth is based on the known, manufactured concentrations/relationships specified for the calibration verification material and the analytical measurement principles of the Beckman CX instrument system. The study compares the new device's response curve to that of already accepted predicate devices.


8. The sample size for the training set

Not applicable. This device is a chemical calibrator, not a machine learning model. Therefore, there is no "training set" in the context of AI/ML. The manufacturing process of the calibration verification material and its characterization would involve its own internal validation, but that is distinct from a "training set" for an algorithm.


9. How the ground truth for the training set was established

Not applicable, as there is no training set for an AI/ML algorithm. The "ground truth" for the calibrator material itself would be established through precise manufacturing processes, metrological traceability (if applicable), and analytical methods to ensure the stated concentrations/relationships of the levels are accurate.

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Image /page/0/Picture/0 description: The image shows the logo for Maine Standards Company LLC. The logo is divided by a diagonal line, with "maine" on the top left and "standards" on the bottom right. The text "NOV 20 2001" is also visible on the right side of the image.

510(k) SUMMARY

"This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92."

"The assigned 510(k) number is:

Submitter:Maine Standards Company
Address:765 Roosevelt TrailWindham, ME 04062
Telephone:207-892-1300
Fax:207-892-2266
Contact:Christine Beach, Mgr. RA/QA

Summary prepared on: September 27, 2001

Proprietary Name:VALIDATE Chem 7 Calibration Verification Test Set
Common Name:Calibration Verification
Classification Name:Calibrator, Multi-Analyte

Predicate Devices:

  • DOCUMENT Iron/Magnesium/Triglyceride 1. CAL-VER. K893142. manufactured by CASCO NERL Diagnostics.
    1. DOCUMENT Multi-Analyte CAL-VER, K870252, manufactured by CASCO-NERL Diagnostics.
  • DOCUMENT Ammonia/Ethanol CAL-VER, K962629, manufactured by 3. CASCO-NERL Diagnostics.

Device description: VALIDATE Chem 7 Calibration Verification Test Set is an aqueous based calibration verification test set containing multiple levels used to establish the relationship between theoretical operation and actual performance of the included analytes. Each set contains one bottle each of six (6) levels, including zero. Each bottle contains 5 milliliters.

Intended use: VALIDATE Chem 7 Calibration Test Set is intended for in vitro diagnostic use in quantitatively verifying calibration, validating reportable ranges, and determining linearity in automated, semi-automated and manual chemistry systems for the following analytes: iron, creatinine, ammonia, and ethanol.

7 6 5 R O O S E V E L T T A I L . W I N D H A M , M A I N E 0 4 0 6 2 TEL:207.892.1300 · FAX:207.892.2266 · TOLL-FREE:800.377.968 www.mainestandards.com

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Comparison of VALIDATE Chem 7 Calibration Verification Test Set to the predicate devices:

Table 1 compares characteristics of the VALIDATE Chem 7 Calibration Verification Test Set with those of the DOCUMENT Iron/Magnesium/Triglyceride CAL�VER, Multi-Analyte CAL.VER, and DOCUMENT Ammonia/Ethanol DOCUMENT CAL·VER.

VALIDATECHEM 7CalibrationVerificationTest SetDOCUMENTIron,Magnesium,TriglycerideCAL•VERDOCUMENTMulti-AnalyteCAL•VERDOCUMENTAmmonia /EthanolCAL•VER
Catalog #10007M-103M-100M-108
IntendedUseFor in vitrodiagnostic use inquantitativelyverifyingcalibration,validatingreportableranges, anddetermininglinearity inautomated, semi-automated andmanualchemistrysystems.For in vitrodiagnostic use inthe quantitativedetermination oflinearity inmanual,automated andsemi-automatedchemistrysystems.For in vitrodiagnostic use inthe quantitativedetermination oflinearity inmanual,automated andsemi-automatedchemistrysystems.For in vitrodiagnostic use inthe quantitativedetermination oflinearity inmanual,automated andsemi-automatedchemistrysystems.
AnalytesFE, CRE, NH3,ETOHFE, MG, TRIGGLU, BUN, NA,K, CL, CRE, CA,PO4NH3, ETOH
Matrixaqueousaqueousaqueousaqueous
Number ofLevels6 including Zero555
PreparationLiquid,ready to useLiquid,ready to useLiquid,ready to useLiquid,ready to use
Packaging5.0 mL eachlevel10.0 mL eachlevel15 mL each level3.0 mL eachlevel
StabilityUntil ExpirationUntil ExpirationUntil ExpirationUntil Expiration
Storage2-8°C2-8°C18-25°C2-8°C
TABLE 1.Comparison of Products
----------------------------------

The performance of VALIDATE Chem 7 Calibration Verification Test Set solutions Beckman CX instrument system as compared to DOCUMENT on the Iron/Magnesium/Triglyceride CAL•VER, DOCUMENT Multi-Analyte CAL•VER, and DOCUMENT Ammonia/Ethanol CAL.•VER has been shown to be substantially equivalent using pre-production lots of VALIDATE Chem 7 Calibration Verification Test Set. The results of correlation comparisons between the VALIDATE Chem 7 Calibration Verification Test Set and the predicate device are presented in Table 2.

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  • TABLE 2. Linear Regression Statistical Comparison of VALIDATE Chem 7 Calibration Verification Test Set to the predicate devices.
VALIDATEChem 7Calibration Verification Test SetDOCUMENTIron, Magnesium, TriglycerideCAL•VER
AnalyteCorrelationCoefficient (r)Regression EquationY = intercept + slope(X)CorrelationCoefficient(r)Regression EquationY = intercept + slope(X)
FE0.99997.327 + 1.001X0.99979-5.539 + 1.007X
VALIDATEChem 7Calibration Verification Test SetDOCUMENTMulti-AnalyteCAL•VER
AnalyteCorrelationCoefficient (r)Regression EquationY = intercept + slope(X)CorrelationCoefficient (r)Regression EquationY = intercept + slope(X)
CRE0.99952.091 + .983X0.99987-.099 + 1.007X
VALIDATEChem 7Calibration Verification Test SetDOCUMENTAmmonia/EthanolCAL·VER
AnalyteCorrelationCoefficient (r)Regression EquationY = intercept + slope(X)CorrelationCoefficient(r)Regression EquationY = intercept + slope(X)
NH30.99994-.363 + 1.019X0.99809-11.616 + 1.074X
ETOH0.99998-.159 + 1.009X0.99872-1.261 + 1.04X

Summary:

Linear regression analysis was carried out on recovered values for iron, creatinine, ammonia, and ethanol. The analytes were tested in triplicate. The VALIDATE Chem 7 Calibration Verification Test Set has been shown to be functionally equivalent for calibration verification and linearity assessment to DOCUMENT Iron/Magnesium/Triglyceride CAL.•VER, DOCUMENT Multi-Analyte CAL•VER, and DOCUMENT Ammonia/Ethanol CAL•VER.

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Christine Beach Manager RA/QA Maine Standards Company 765 Roosevelt Trail Windham, ME 04062

NOV 2 0 2001

K013265 Re:

R013205
Trade/Device Name: VALIDATE Chem 7 Calibration Verification Test Set Regulation Number: 21 CFR 862.1660 Regulation Name: Quality control material (assayed and unassayed) Regulatory Class: Class I, reserved Product Code: JJY Dated: September 27, 2001 Received: October 1, 2001

Dear Ms. Beach:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave roviewed your 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 for use sualed in the encreating of the enactment date of the Medical Device Amendments, or to conimores prior to ria) 20, 20, 20, 20, 2017 11:25 provisions of the Federal Food, Drug, de nees that have been route approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The I ou may , there core, mains 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 If your device to such additional controls. Existing major regulations affecting your device can may or babyer to oach as out Federal Regulations, Title 21, Parts 800 to 898. 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 r loase of actived that i Drivination that your device complies with other requirements of the Act that I Dri has made a avad regulations administered by other Federal agencies. You must or any I with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set Of It in the quality systems (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2 -

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 nredicate 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 1 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" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Steven Sutman

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

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NOV 2 0 2001

INDICATIONS FOR USE STATEMENT

510(k) Number:

Device Name: VALIDATE Chem 7 Calibration Verification Test Set

Indications for Use:

The VALIDATE Chem 7 Calibration Verification Test Set is used by trained laboratory professionals for quantitatively verifying calibration, validating reportable ranges, and determining linearity in automated, semi-automated and manual chemistry systems for the following analytes; iron, creatinine, ammonia, 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 and ethanol. STIN

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number K013265

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use

§ 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.