K Number
K024173
Device Name
CDS 3-PD HEMATOLOGY CONTROLS
Date Cleared
2003-01-14

(27 days)

Product Code
Regulation Number
864.8625
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
CDS 3-PD Hematology Controls are intended to serve as a means of verifying the results obtained from a hematology analyzer system. This material applies to hematology analyzer systems equipped to measure RBC count and size, WBC count and size, PLT count and size, total HGB concentration, and calculated parameters HCT, MCH, MCHC, RDW, WBC percent and number for lymphocyte, mononuclear and granulocyte populations. The products are designed to be sampled directly into the analyzer system as a sample specimen with minimal operator intervention.
Device Description
Not Found
More Information

Beckman Coulter 4C Plus, Streck Para12, Hematronix Figuinox 16, R&D Systems CBC-3D hematology controls.

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No
The summary describes a hematology control material used for verifying analyzer results, with no mention of AI or ML technology in its function or description.

No
The device is described as hematology controls intended for verifying results from a hematology analyzer, not for treating a condition, disease, or injury.

No
The device is described as a hematology control, used for verifying the results of a hematology analyzer, not for diagnosing patients directly.

No

The device is a hematology control material, which is a physical substance used to verify the performance of a hematology analyzer. The description explicitly states it is a "material" and is "sampled directly into the analyzer system as a sample specimen," indicating it is a physical product, not software.

Yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the controls are "intended to serve as a means of verifying the results obtained from a hematology analyzer system." This means they are used in vitro (outside the body) to assess the performance of a diagnostic device (the hematology analyzer).
  • Function: The controls are designed to be sampled directly into the analyzer "as a sample specimen." This simulates a patient sample and allows the analyzer to be tested for accuracy and precision in measuring various blood parameters.
  • Parameters Measured: The controls are used to verify the measurement of parameters like RBC count, WBC count, PLT count, HGB concentration, and calculated parameters like HCT, MCH, MCHC, RDW, and differential counts. These are all diagnostic parameters used to assess a patient's health.

Therefore, the CDS 3-PD Hematology Controls fit the definition of an In Vitro Diagnostic device because they are used in vitro to verify the performance of a diagnostic instrument that measures parameters from biological samples.

N/A

Intended Use / Indications for Use

CDS 3-PD Hematology Controls are intended to scrvc as a mcans of verifying the results obtained from a hematology analyzer system. This material applies to hematology analyzer systems equipped to measure RBC count and size, WBC count and size, I'LT count and size, total HGB concentration, and calculated parameters HCT, MCH, MCHC, RDW, WBC percent and uumber for lymphocyte, monounclear and granulocyte populations. The products are designed to be sampled directly into the analyzer system as a sample specimen with minimal operator intervention.

Product codes

JPK

Device Description

Not Found

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

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Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

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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)

Beckman Coulter 4C Plus, Streck Para12, Hematronix Figuinox 16, R&D Systems CBC-3D hematology controls.

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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§ 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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Image /page/0/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle with three lines representing its wings.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 1 4 2003

Mr. Andrew C. Swanson President Clinical Diagnostic Solutions, Inc. 1660 N.W. 65th Avenue, Suite 2 Plantation, FL 33313

K024173 Re:

Trade/Device Name: CDS 3-PD Hematology Controls Regulation Number: 21 CFR 864.8625 Regulation Name: Hematology quality control mixture Regulatory Class: Class II Product Code: JPK Dated: December 2, 2002 Received: December 18, 2002

Dear Mr. Swanson:

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 vour 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 Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

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This letter will allow you to begin marketing your device as described in your Section 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 information about the application of labeling requirements to your device, or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 594-3084. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 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 Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Page 1 of 1

510(k) Number: K024173

Device Name: CDS 3-PD Hematology Coultols

Indications for Use:

CDS 3-PD Hematology Controls are intended to scrvc as a mcans of verifying the results obtained from a hematology analyzer system. This material applies to hematology analyzer systems equipped to measure RBC count and size, WBC count and size, I'LT count and size, total HGB concentration, and calculated parameters HCT, MCH, MCHC, RDW, WBC percent and uumber for lymphocyte, monounclear and granulocyte populations. The products are designed to be sampled directly into the analyzer system as a sample specimen with minimal operator intervention.

These control products are substantially equivalent to control products of other manufacturers already in commercial distribution, such as Beckman Coulter 4C Plus, Streck Para12. Hematronix Figuinox 16 and R&D Systems CBC-3D hematology controls.

(PLEASE DO NOT WRITE DELOW THIS LINE-CONTINUE ON ANOTHER PAGE II? NEEDED)

Concurrence of CDRIL, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number. K024173

Prescription Use
(Per 21 CFR 801.109)
OR
Over-The-Counter Use
(Optional Format 1-2-96)