K Number
K033910
Device Name
OLYMPUS URINE CALIBRATOR
Date Cleared
2004-01-30

(44 days)

Product Code
Regulation Number
862.1150
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Olympus™ Urine Calibrator is intended for use in the calibration of quantitative chemistry assays including Amylase, Calcium, Creatinine, Glucose, Magnesium, Phosphorus, Total Protein, and Urea on the Olympus™ series of chemistry analyzers.
Device Description
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More Information

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No
The document describes a calibrator for chemistry assays and contains no mention of AI or ML.

No
The device is a calibrator for chemistry assays, which means it helps ensure the accuracy of diagnostic tests. It does not directly treat or prevent a disease or condition in a patient.

No
Explanation: The device is a "Urine Calibrator" intended for the calibration of chemistry assays, not for the direct diagnosis of a disease or condition in a patient. It is used to ensure the accuracy of diagnostic instruments.

No

The device is described as a "Urine Calibrator" intended for use with "chemistry analyzers." This strongly suggests a physical substance or material used for calibration, not a software-only device. The lack of any mention of software in the description further supports this conclusion.

Based on the provided information, the Olympus™ Urine Calibrator is an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use explicitly states it's for "calibration of quantitative chemistry assays" using "Urine Calibrator". This means it's used in vitro (outside the body) to analyze a biological sample (urine) for diagnostic purposes (measuring levels of various substances).
  • Function: Calibrators are essential components in many diagnostic tests. They are used to ensure the accuracy and reliability of the measurements performed by the analytical instrument.

Therefore, its function and intended use clearly align with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Olympus™ Urine Calibrator is intended for use in the calibration of quantitative chemistry assays including Amylase, Calcium, Chloride, Creatinine, Glucose, Magnesium, Phosphorus, Total Protein, and Urea on the Olympus™ series of chemistry analyzers.

Product codes

JIX

Device Description

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Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

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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)

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

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Predicate Device(s)

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Reference Device(s)

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Predetermined Change Control Plan (PCCP) - All Relevant Information

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§ 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.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services (USA). The seal is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES (USA)" arranged around the perimeter. In the center of the seal is a stylized image of an eagle, with its wings spread. The eagle is facing to the right, and its head is turned to the left.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 3 0 2004

Ms. Carol Ruggiero Director of Regulatory Affairs CLINIQA Corporation 1432 South Mission Road Fallbrook, CA 92028

Re: K033910

Trade/Device Name: Olympus™ Urine Calibrator Regulation Number: 21 CFR 862.1150 Regulation Name: Calibrator Regulatory Class: Class II Product Code: JIX Dated: December 15, 2003 Received: December 17, 2003

Dear Ms. Ruggiero:

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 r ou mays 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 If your de roo to enabled (tional 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 r that FDA has made a determination that your device complies with other requirements of the Act that + Dr Hoss Internand regulations administered by other Federal agencies. You must or any I coolar batates and weather ments, 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,

Jean M. Cooper, MS, DVM.

Yean M. Cooper, MS. D.V.M. Director Division of Chemistry and Toxicology 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): K033) | O

Device Name: Olympus™ Urine Calibrator

Indications For Use:

Olympus™ Urine Calibrator is intended for use in the calibration of quantitative chemistry ormpuo - Ghine Calinse, Calcium, Creatinine, Glucose, Magnesium, Phosphorus, Urea assays including / infylaso, Salolan, Grounner, Stall Protein on the Olympus™ series of chemistry analyzers.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Carol C. Benamfor Jean Cooper, DVM
Division Sign-Off

Office of In Vitro Diagnostic Device Evalu tion and Safety

510(k) K033910

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use