K Number
K033366
Device Name
LIQUICHEK QUALITATIVE URINE TOXICOLOGY CONTROL, NEGATIVE, MODEL 454; POSITIVE, MODEL 455
Manufacturer
Date Cleared
2003-12-12

(52 days)

Product Code
Regulation Number
862.3280
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Liquichek Qualitative Urine Toxicology Control is intended for use as an assayed quality control urine to monitor the performance of laboratory procedures for qualitative urine toxicology.
Device Description
Liquichek Qualitative Urine Toxicology Controls are prepared from human urine with added drugs of abuse and metabolites of drugs of abuse, preservatives, stabilizers, and constituents of animal origin. The control is provided in liquid form for convenience.
More Information

Not Found

No
The device description and performance studies focus on the stability and composition of a liquid control for toxicology testing, with no mention of AI or ML technologies.

No
The device is described as a quality control urine used to monitor the performance of laboratory procedures for qualitative urine toxicology, not to treat or diagnose a disease.

No
Explanation: This device is a quality control material used to monitor the performance of laboratory procedures for qualitative urine toxicology. It is not used to diagnose a patient's condition.

No

The device is a physical control material (liquid urine with added substances) used to monitor laboratory procedures, not a software application.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for "monitoring the performance of laboratory procedures for qualitative urine toxicology." This indicates it's used in a laboratory setting to evaluate the accuracy and reliability of tests performed on biological samples (urine).
  • Device Description: The description mentions it's prepared from "human urine with added drugs of abuse and metabolites." This confirms it's a reagent or material used in the analysis of a biological specimen.
  • Intended User / Care Setting: The intended user is "laboratory procedures," further reinforcing its use in a clinical or analytical laboratory environment.

These characteristics align with the definition of an In Vitro Diagnostic device, which is used to examine specimens taken from the human body to provide information for diagnosis, monitoring, or screening. In this case, the control is used to ensure the accuracy of tests that would be used for such purposes.

N/A

Intended Use / Indications for Use

Liquichek Qualitative Urine Toxicology Control is intended for use as an assayed quality control urine to monitor the performance of laboratory procedures for qualitative urine toxicology.

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

DIF

Device Description

Liquichek Qualitative Urine Toxicology Controls are prepared from human urine with added drugs of abuse and metabolites of drugs of abuse, preservatives, stabilizers, and constituents of animal origin. 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 Qualitative Urine Toxicology Control. Product claims are as follows:

  • 2.1 Open vial: All analytes will be stable for 30 days when stored tightly capped at 2 to 8ºC or 18 to 25°C.
  • 2.2 Shelf Life: 3 Years at 2 to 8°C
  • 2.3 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.

K001973

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

§ 862.3280 Clinical toxicology control material.

(a)
Identification. A clinical toxicology control material is a device intended to provide an estimation of the precision of a device test system and to detect and monitor systematic deviations from accuracy resulting from reagent or instrument defects. This generic type of device includes various single, and multi-analyte control materials.(b)
Classification. Class I (general 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.

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Summary of Safety and Effectiveness Liquichek Qualitative Urine Toxicology Control

1.0 Submitter

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

Contact Person

Maria Zeballos Requlatory Affairs Specialist Telephone: (949) 598-1367

Date of Summary Preparation

October 14, 2003

Device Identification 2.0

Liquichek Qualitative Urine Toxicology Control Product Trade Name:

Drug Mixture Control Common Name:

Class I Classifications:

DIF Product Code:

21 CFR 862.3280 Requlation Number:

Device to Which Substantial Equivalence is Claimed 3.0

Liguichek Qualitative Urine Toxicology Control Bio-Rad Laboratories Irvine, California

Docket Number: K001973

Description of Device 4.0

Liquichek Qualitative Urine Toxicology Controls are prepared from human urine with added drugs of abuse and metabolites of drugs of abuse, preservatives, stabilizers, and constituents of animal origin. The control is provided in liquid form for convenience.

5.0 Statement of Intended Use

Liquichek Qualitative Urine Toxicology Control is intended for use as an assayed quality control urine to monitor the performance of laboratory procedures for qualitative urine toxicology.

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Comparison of the new device with the Predicate Device 6.0

The new Liquichek Qualitative Urine Toxicology Control contains 3,4-Methylenedioxymethamphetamine (MDMA), and the currently marketed Liquichek Qualitative Urine Toxicology Control (K001973) to which substantial equivalence is claimed does not contain MDMA.

| | Bio-Rad Liquichek Qualitative
Urine Toxicology Control
(New Device) | Bio-Rad Liquichek Qualitative
Urine Toxicology Control
(Predicate Device K001973) |
|-----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Characteristics | | |
| | Similarities | |
| Intended Use | Liquichek Qualitative Urine Toxicology Control is
intended for use as an assayed quality control urine to
monitor the performance of laboratory procedures for
qualitative urine toxicology. | Liquichek Qualitative Urine Toxicology Control is
intended for use as an assayed quality control urine
to monitor the performance of laboratory procedures
for qualitative urine toxicology. |
| Form | Liquid | Liquid |
| Matrix | Urine | Urine |
| Storage
(Unopened) | 2-8°C until expiration date | 2-8°C until expiration date |
| Open Vial | 30 days at 2 to 8°C or 18 to 25°C | 30 days at 2 to 8°C or 18 to 25°C |
| | Differences | |
| Drugs | Same as the predicate device with the addition of:
3,4-Methylenedioxymethamphetamine (MDMA), | 11-Nor-Δ-9-THC-9-COOH, Amphetamines,
Barbiturates, Benzodiazepines, Benzoylecgonine,
Cannabinoids, Cocaine, d-Amphetamine, d-
Methamphetamine, Ethanol, Lysergic Acid
Diethylamide (LSD), Methadone, Methaqualone,
Morphine, Free; Nordiazepam, Nortriptyline,
Opiates, Oxazepam, Phencyclidine, Propoxyphene,
Secobarbital, Tricyclic Antidepressants (TCA)
Does not contain:
3,4-Methylenedioxymethamphetamine (MDMA) |
| Label Warnings | Does not require hazard symbols | Requires hazard symbols |

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

2.0 STATEMENT OF SUPPORTING DATA

Stability studies have been performed to determine the open vial stability and shelf life for the Liquichek Qualitative Urine Toxicology Control. Product claims are as follows:

  • 2.1 Open vial: All analytes will be stable for 30 days when stored tightly capped at 2 to 8ºC or 18 to 25°C.
  • 2.2 Shelf Life: 3 Years at 2 to 8°C
  • 2.3 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.

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Food and Drug Administration 2098 Gaither Road Rockville MD 20850

DEC 1 2 2003

Ms. Maria Zeballos, RAC Regulatory Affairs Specialist Bio-Rad Laboratories, QSD Diagnostics Group 9500 Jeronimo Road Irvine, CA 92618-2017

K033366 Re: Trade/Device Name: Liquichek Qualitative Urine Toxicology Control Regulation Number: 21 CFR 862.3280 Regulation Name: Clinical toxicology control material Regulatory Class: Class I Product Code: DIF Dated: October 14, 2003 Received: October 21, 2003

Dear Ms. Zeballos:

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.

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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Page 2 -

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). You may obtain other general information on your responsibilities under the Act 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 Butman

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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510 (k) Number (if known): K033366

Device Name: Liquichek Qualitative Urine Toxicology Control

Indications for Use:

Liquichek Qualitative Urine Toxicology Control is intended for use as an assayed quality control urine to monitor the performance of laboratory procedures for qualitative urine toxicology.

(PLEASE DO NOT WRITE BELOW THE LINE-CONINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription use __ or Over-the Counter use __

Albuth Suin
Division Sign-Off for Jean Cooper

Office of In Vitro Diagnostic Device Evaluation and Safety

210(k)