(123 days)
Not Found
Not Found
No
The summary contains no mention of AI, ML, image processing, or any other indicators of AI/ML technology. The device appears to be a reference emulsion for a laboratory system.
No
The device is described as a "Reference Emulsion" intended for use on a laboratory system, which suggests it is a diagnostic or calibration tool, not something used for treatment.
Yes
The intended use states the device is used on a laboratory analysis system (Instrumentation Laboratories ACL system), implying it is a reagent or component used in a diagnostic test rather than a standalone diagnostic device that directly diagnoses a condition.
No
The 510(k) summary describes a "Reference Emulsion" intended for use on a specific hardware system (Instrumentation Laboratories ACL system). This indicates a physical substance or material, not a software-only device.
Based on the provided information, the device is likely an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use states it's "intended to be used on Instrumentation Laboratories ACL system." ACL systems are commonly used for in vitro diagnostic testing, specifically for hemostasis (blood clotting) assays.
- Product Name: "Pacific Hemostasis Reference Emulsion" strongly suggests a product used in the field of hemostasis, which is a key area of in vitro diagnostics.
- Lack of Information Contradicting IVD Use: There is no information provided that would suggest this device is used in vivo (inside the body) or for purposes other than laboratory testing.
While the "Device Description" is missing, the combination of the intended use and the product name points strongly towards an IVD. Reference materials like emulsions are often used to calibrate or verify the performance of IVD instruments and assays.
N/A
Intended Use / Indications for Use
Pacific Hemostasis Reference Emulsion is intended to be used on Instrumentation Laboratories ACL system.
Product codes
GGN
Device Description
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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
Not Found
Key Metrics
Not Found
Predicate Device(s)
Not Found
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information
Not Found
§ 862.1150 Calibrator.
(a)
Identification. A calibrator is a device intended for medical purposes for use in a test system to establish points of reference that are used in the determination of values in the measurement of substances in human specimens. (See also § 862.2 in this part.)(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.
0
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus, which is a symbol of medicine, with three horizontal lines representing the branches of government. The caduceus is surrounded by a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around it.
Food and Drug Administration 2098 Gaither Road Rockville MD 20850
Jerald Steiner, Ph.D. FEB 1 5 2002 Senior Applications Scientist Fisher Diagnostics 8365 Valley Pike P.O. Box 307 Middletown, Virginia 22645-0307
K013397 Trade/Device Name: Pacific Hemostasis Reference Emulsion Regulation Number: 21 CFR § 864.5425 Regulation Name: Multipurpose System for in vitro coagulation studies Regulatory Class: II Product Code: GGN Dated: December 17, 2001 Received: December 19, 2001
Dear Dr. Steiner:
Re:
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 the Code of 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 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 Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (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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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" (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 Autman
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
Indications for Use Form
Pacific Hemostasis Reference Emulsion is intended to be used on Instrumentation Laboratories ACL system.
Josephine Boutte
cal Laboratory Devices
510(k) Number Ko