K Number
K020618
Device Name
AALTO SCIENTIFIC MIRCO HEMATOCRIT CONTROL
Date Cleared
2002-05-14

(78 days)

Product Code
Regulation Number
864.8625
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Aalto Scientific Micro Hematocrit Control are human blood based solutions intended to simulate human patient samples for the purpose of monitoring the precision of laboratory testing procedures for hematocrit.
Device Description
The Aalto Scientific Micro Hematocrit Controls are prepared using human blood and chemicals, including less than 0.1% sodium azide as preservative. The Aalto Scientific Micro Hematocrit Controls are for in vitro diagnostic use only. The human components used in the manufacture of the product have been tested and found to be non reactive by FDA approved methods for HIV 1/2, HbsAg HCV and HTLV 1/2.
More Information

Not Found

No
The summary describes a control solution for laboratory testing, not a device that processes data or images using AI/ML.

No.
The "Intended Use" states that the device is "intended to simulate human patient samples for the purpose of monitoring the precision of laboratory testing procedures," indicating it is for diagnostic quality control, not for treating a disease or condition. The "Device Description" further clarifies it is "for in vitro diagnostic use only."

Yes
Explanation: The device is described as "human blood based solutions intended to simulate human patient samples for the purpose of monitoring the precision of laboratory testing procedures for hematocrit" and "for in vitro diagnostic use only", indicating its use in assessing the accuracy of diagnostic tests.

No

The device description explicitly states it is a human blood-based solution prepared using human blood and chemicals, indicating it is a physical substance, not software.

Yes, 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 hematocrit." This is a classic function of an IVD control material.
  • Device Description: The description states "The Aalto Scientific Micro Hematocrit Controls are for in vitro diagnostic use only." This is a direct declaration of its IVD status.
  • Nature of the Device: It's a human blood-based solution used to simulate patient samples for testing purposes, which aligns with the definition of an IVD control.
  • Predicate Device: The presence of a predicate device (K964452 STI Hematachek Separation Technology, Inc.) which is also a hematocrit control, further supports its classification as an IVD.

N/A

Intended Use / Indications for Use

The Aalto Scientific Micro Hematocrit Controls are human blood based solutions intended to simulate human patient samples for the purpose of monitoring the precision of laboratory testing procedures for hematocrit.

Product codes (comma separated list FDA assigned to the subject device)

GLK

Device Description

The Aalto Scientific Micro Hematocrit Controls are prepared using human blood and chemicals, including less than 0.1% sodium azide as preservative. The Aalto Scientific Micro Hematocrit Controls are for in vitro diagnostic use only. The human components used in the manufacture of the product have been tested and found to be non reactive by FDA approved methods for HIV 1/2, HbsAg HCV and HTLV 1/2.

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

laboratory

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K964452

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 864.8625 Hematology quality control mixture.

(a)
Identification. A hematology quality control mixture is a device used to ascertain the accuracy and precision of manual, semiautomated, and automated determinations of cell parameters such as white cell count (WBC), red cell count (RBC), platelet count (PLT), hemoglobin, hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC).(b)
Classification. Class II (special controls). Except when intended for use in blood components, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 864.9.

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K020618

MAY 1 4 2002

PAGE 6

510K SUMMARY

Submitted by: Aalto Scientific, Ltd. 1959 Kellogg Avenue Carlsbad, CA 92008 Tel: 760-431-7922 Fax: 760-431-6942

Contact Person: Kenneth Gauthier

Date of Summary Preparation: February 19, 2002

Device: (Trade and Common Name)

Aalto MicroHematocrit Control

Classification Name:

CFR 864.8625, Control, Hematocrit

Device to Which Substantial Equivalence is Claimed:

STI Hematachek Separation Technology, Inc. 1096 Rainier Drive Altamonte Springs, FLA K964452

Statement of Intended Use:

The Aalto Scientific Micro Hematocrit Control are human blood based solutions intended to simulate human patient samples for the purpose of monitoring the precision of laboratory testing procedures for hematocrit.

1

PAGE 7

510(k) SUMMARY - CONTINUED

Description of the Device:

The Aalto Scientific Micro Hematocrit Controls are prepared using human blood and chemicals, including less than 0.1% sodium azide as preservative. The Aalto Scientific Micro Hematocrit Controls are for in vitro The human components used in the diagnostic use only. manufacture of the product have been tested and found to be non reactive by FDA approved methods for HIV 1/2, HbsAg HCV and HTLV 1/2.

Statement of Technological Characteristics Compared to Equivalent Device:

Intended Use: Both devices are intended to monitor the precision of methods used to measure whole blood spun hematocrit.

Form: Both devices are liquids

Matrix: Both devices use stabilized Red Blood Cells as the matrix.

Storage: Both devices can be stored and used at controlled room temperature.

Stability: Both devices can be stored for 2 years at controlled room temperature, unopened.

Symph Patt

Kenneth Gauthier Quality Control Manager

02.21.02

Date

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo of 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 image of an eagle or bird-like figure with outstretched wings.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAY 1 4 2002

Mr. Kenneth Gauthier Ouality Control Manager Aalto Scientific, Limited 1959 Kellogg Avenue Carlsbad. California 92008

K020618 Re:

Trade/Device Name: Aalto Micro Hematocrit Control Regulation Number: 21 CFR § 864.8625 Regulation Name: Control, Hematocrit Regulatory Class: II Product Code: GLK Dated: April 12, 2002 Received: April 29, 2002

Dear Mr. Gauthier:

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.

3

This letter will allow you to begin marketing your device as described in your 510(k) premarket I mis letter will and in you word 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 additionally 60911-01-11-2011 on the promotion and advertising of your device, (Jease 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

4

Page __ of_

510(k) Number (if known): Ko 20618

Aalto Scientific Ltd. Device Name: _

Micro Hematocrit Control

Indications For Use:

The Aalto Scientific Micro Hematocrit Controls are human blood based solutions intended to simulate human patient samples for the purpose of monitoring the precision of laboratory testing procedures for hematocrit

(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)

Josephine Bautista

nical Laboratory