K Number
K024227
Device Name
LIQUICHEK ANTI-MITOCHONDRIAL CONTROL, POSITIVE, CATALOG #127
Manufacturer
Date Cleared
2003-01-15

(23 days)

Product Code
Regulation Number
866.5100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Liquichek anti-mitochondrial control, positive is intended for use as an unassayed quality control to monitor indirect immunofluorescent testing for the detection of mitochondrial autoantibodies.
Device Description
This product is prepared from human serum with added preservatives. The control is provided in liquid form for convenience.
More Information

Not Found

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

No
The device is described as an unassayed quality control for laboratory testing, not a device used to treat or diagnose patients.

No
This device is described as an "unassayed quality control" intended to "monitor indirect immunofluorescent testing." It is used to ensure the accuracy of diagnostic tests, but it does not directly diagnose a condition itself.

No

The device description clearly states the product is prepared from human serum and provided in liquid form, indicating it is a physical reagent, 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 indirect immunofluorescent testing for the detection of mitochondrial autoantibodies." This testing is performed in vitro (outside the body) on patient samples (implied by the need to detect autoantibodies).
  • Device Description: The product is prepared from "human serum," which is a biological sample used in in vitro diagnostic tests.
  • Quality Control: The product is described as an "unassayed quality control." Quality controls are essential components of in vitro diagnostic testing to ensure the accuracy and reliability of the results.

The information provided clearly indicates that this product is designed to be used in a laboratory setting to monitor the performance of an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

The new Liquichek™ Anti-Mitochondrial Control, Positive, is intended for use as an unassayed quality control to monitor indirect immunofluorescent testing for the detection of mitochondrial autoantibodies.

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

82DBM

Device Description

This product is prepared from human serum with added preservatives. 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 Liquichek™ Anti-Mitochondrial Control, Positive. Product claims are as follows:

  • 7.1 Once the control is opened the analyte will be stable for 60 days when stored tightly capped at 2 to 8°C.
  • 7.2 The control is stable for 2 years when stored unopened at 2 8°C.
    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): 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.

K792610

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

§ 866.5100 Antinuclear antibody immunological test system.

(a)
Identification. An antinuclear antibody immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the autoimmune antibodies in serum, other body fluids, and tissues that react with cellular nuclear constituents (molecules present in the nucleus of a cell, such as ribonucleic acid, deoxyribonucleic acid, or nuclear proteins). The measurements aid in the diagnosis of systemic lupus erythematosus (a multisystem autoimmune disease in which antibodies attack the victim's own tissues), hepatitis (a liver disease), rheumatoid arthritis, Sjögren's syndrome (arthritis with inflammation of the eye, eyelid, and salivary glands), and systemic sclerosis (chronic hardening and shrinking of many body tissues).(b)
Classification. Class II (performance standards).

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KO2YA227

Summary of Safety and Effectiveness Liquichek™ Anti-Mitochondrial Control, Positive

1.0 Submitter

JAN 1 5 2003

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

Contact Person

Yvette Lloyd Senior Regulatory Affairs Specialist Telephone: (949) 598-1465

Date of Summary Preparation

December 20, 2002

2.0 Device Identification

Product Trade Name:Liquichek™ Anti-Mitochondrial Control, Positive
Common Name:Antinuclear Antibody, Indirect Immunofluorescent,
Antigen, Control
Classifications:Class II
Product Code:82DBM
Regulation Number:21 CFR 866.5100

3.0 Device to Which Substantial Equivalence is Claimed

Kallestad TM Autoantibody Positive Control Bio-Rad Laboratories

510 (k) Number: K792610

Description of Device 4.0

This product is prepared from human serum with added preservatives. The control is provided in liquid form for convenience.

1

Statement of Intended Use 5.0

The new Liquichek™ Anti-Mitochondrial Control, Positive, is intended for use as an unassayed quality control to monitor indirect immunofluorescent testing for the detection of mitochondrial autoantibodies.

Comparison of the new device with the Predicate Device 6.0

This control is substantially equivalent to the following quality control material for autoimmune analysis that is currently in the market:

Kallestad™ Autoantibody Positive Control Bio-Rad Laboratories

510 (k) Number: K792610

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

| Characteristics | Liquichek™ Anti-Mitochondrial
Control, Positive
(New Device) | Kallestad™ Autoantibody Positive
Control
(Predicate Device) |
|-----------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Similarities | | |
| Intended Use | The Liquichek™ Anti-Smooth
Muscle Control, Positive, is
intended for use as an unassayed
quality control to monitor indirect
immunofluorescent testing for the
detection of smooth muscle
autoantibodies. | The Autoantibody Positive Control
is a replacement reagent in the
Kallestad Fluorescent
Autoantibody test with mouse
kidney, mouse stomach/kidney,
Hep-2 cell line, or Crithidia luciliae
substrates. |
| Matrix | Human Serum | Human Serum |
| Storage
(Unopened) | 2°C to 8°C
until expiration date | 2°C to 8°C
until expiration date |
| Form | Liquid | Liquid |

2

Differences
Stability
(Opened)Once opened the analyte will be
stable for 60 days.No claim for stability
AnalyteAnti-MitochondrialANA: Centromere Pattern, SSA,
SSB, Scl-70, Sm, RNP, Spindle
Pattern, Nucleolar Pattern
AMA
ASMA
APCA
Anti-nDNA

7.0 Summary of Performance Data

Stability studies have been performed to determine the open vial stability and shelf life for the Liquichek™ Anti-Mitochondrial Control, Positive. Product claims are as follows:

  • 7.1 Once the control is opened the analyte will be stable for 60 days when stored tightly capped at 2 to 8°C.
  • 7.2 The control is stable for 2 years when stored unopened at 2 8°C.

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

Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The eagle is composed of three curved lines that form the shape of the bird's body and wings. The logo is simple and clean, and it is easily recognizable.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 1 5 2003

Ms. Yvette Lloyd Senior Regulatory Affairs Specialist Bio-Rad Laboratories, OSD 9500 Jeronimo Road Irvine, California 92618-2017

Re: K024227

Trade/Device Name: Liquichek™ Anti-Mitochondrial Control, Positive Regulation Number: 21 CFR § 866.5090 Regulation Name: Anti-Mitochondrial Antibody Indirect/Immunofluorescent. Antigen, Control Regulatory Class: II Product Code: DBM Dated: December 20, 2002 Received: December 23, 2002

Dear Ms. Lloyd:

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 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.

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Page 2

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). 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 vours.

Steven Sutman

Steven I. Gutman, M.D., Director Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Page 1of 1

510(k) Number (if known):

Device Name: Liquichek™ anti-mitochondrial control, positive

Indications For Use:

Liquichek anti-mitochondrial control, positive is intended for use as an unassayed quality control to monitor indirect immunofluorescent testing for the detection of mitochondrial autoantibodies.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use _____________________________ or Over-the-Counter use _________________________________________________________________________________________________________________________________________________________

A. Reeves for J. Bautista

(Division Sign-Off) Division of Clinical Laboratory Devices

510(k) Number_16 0 24 227

(Optional Format 3-10-98