K Number
K040273
Device Name
LYPHOCHEK ASSAYED CHEMISTRY CONTROL
Date Cleared
2004-03-04

(28 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.
Device Description
Lyphochek Assayed Chemistry Control is prepared from human serum with added constituents of purified biochemicals (tissue extracts of human and animal origin), chemicals, therapeutic drugs, preservatives and stabilizers. The control is provided in lyophilized form.
More Information

Not Found

No
The device description and performance studies focus on the chemical composition and stability of a quality control serum, with no mention of AI or ML technologies.

No
The device is described as an assayed quality control serum to monitor the precision of laboratory testing procedures, not for treating or diagnosing any medical condition.

No

This device is a quality control serum used to monitor the precision of laboratory testing procedures, not to diagnose a patient's condition.

No

The device is a lyophilized serum control, which is a physical substance used in laboratory testing, not a software program.

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

Here's why:

  • Intended Use: The intended use explicitly states it's "For use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert." This clearly indicates it's used in a laboratory setting to evaluate the performance of diagnostic tests.
  • Device Description: The description details its composition ("prepared from human serum with added constituents...") and form ("provided in lyophilized form"), which are typical characteristics of IVD control materials.
  • Intended User / Care Setting: The intended user is described as being involved in "laboratory testing procedures," further reinforcing its use in a diagnostic laboratory environment.
  • Predicate Device: The mention of a predicate device (K874280; Lyphochek Assayed Chemistry Control) strongly suggests that this device is being compared to or is a successor to a previously cleared IVD.

While the document doesn't contain information about image processing, AI, or patient demographics, the core function and context of the device as described firmly place it within the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Lyphochek Assayed Chemistry Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.

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

JJY

Device Description

Lyphochek Assayed Chemistry Control is prepared from human serum with added constituents of purified biochemicals (tissue extracts of human and animal origin), chemicals, therapeutic drugs, preservatives and stabilizers. The control is provided in lyophilized form.

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

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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 Lyphochek Assayed Chemistry Control. Product claims are as follows:

  • Open vial: All analytes will be stable for 7 days at 2 to 8°C with the following exceptions: Acid Prostatic Acid Phosphatase will be stable for 3 days.
  • After reconstitution and freezing: All analytes will be stable for 30 days when stored at -7.2 ARCH Foodnetication of Tobramycin which will be stable for 20 days.
  • Shelf Life: 3 Years + 4 Months at 2 to 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.

K874280

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

§ 862.1660 Quality control material (assayed and unassayed).

(a)
Identification. A quality control material (assayed and unassayed) for clinical chemistry is a device intended for medical purposes for use in a test system to estimate test precision and to detect systematic analytical deviations that may arise from reagent or analytical instrument variation. A quality control material (assayed and unassayed) may be used for proficiency testing in interlaboratory surveys. This generic type of device includes controls (assayed and unassayed) for blood gases, electrolytes, enzymes, multianalytes (all kinds), single (specified) analytes, or urinalysis controls.(b)
Classification. Class I (general controls). Except when intended for use in donor screening tests, quality control materials (assayed and unassayed) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

0

MAR - 4 2004

Summary of Safety and Effectiveness Lyphochek Assayed Chemistry Control

040273

1.0 Submitter

Bio-Rad Laboratories 9500 Jeronimo Road, Irvine, California 92618-2017 (949) 598-1200 Telephone: (949) 598-1557 Fax:

Contact Person

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

Date of Summary Preparation

January 23, 2004

2.0 Device Identification

Product Trade Name:Lyphochek Assayed Chemistry Control
Common Name:Quality Control Materials, all kinds (Assayed and Unassayed)
CharacteristicsBio-Rad
Lyphochek Assayed Chemistry Control
(New Device)Bio-Rad
Lyphochek Assayed Chemistry Control
(Predicate Device K874280)
Similarities
Intended UseLyphochek Assayed Chemistry Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.Lyphochek Assayed Chemistry Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.
FormLyophilizedLyophilized
MatrixSerumSerum
Storage
(Unopened)2-8°C until expiration date2-8°C until expiration date
After Reconstitution
and FreezingAll analytes will be stable for 30 days when stored tightly capped at -10 to -20°C with the following exceptions: Tobramycin will be stable for 20 daysAll analytes will be stable for 30 days when stored tightly capped at -10 to -20°C with the following exceptions: Tobramycin will be stable for 20 days
Differences
Open Vial7 days at 2 to 8°C with the following exceptions: Acid Phosphatase and Prostatic Acid Phosphatase will be stable for 3 days.7 days at 2 to 8°C with the following exceptions: Acid Phosphatase, Prostatic Acid Phosphatase and Alkaline Phosphatase will be stable for 3 days.
AnalytesSame as the predicate device with the following exceptions:
Does not contain claims for:
· Aldolase and Folate
Contains claims for the following additional analytes:
· Calcium (Ionized)
· Copper
· Glutamate Dehydrogenase (GLDH)
· Globulin
· Cholesterol (LDL)
· Iron-Binding Capacity, Total (TIBC)
· Iron Binding Capacity, Unsaturated (UIBC)
· T3 Free
· T4 Free
· Transferrin
· Vitamin B12
· ZincAcetaminophen
Acid Phosphatase, Total
Alanine Aminotransferase (ALT)
Albumin
Aldolace
Alkaline Phosphatase (ALP)
$\alpha$ HBDH
Alpha-1-Antitrypsin
Alpha-Fetoprotein (AFP)
Amylase
Amylase, Alpha
Amylase, Pancreatic
Apolipoprotein A-1
Apolipoprotein B
Aspartate Aminotransferase (AST/SGOT)
Bilirubin, Direct
Bilirubin, Indirect
Bilirubin, Total
C3 Complement
C4 Complement
Calcium
Carbamazepine
Carbon Dioxide (CO2)
Carcinoembryonic Antigen (CEA)
Ceruloplasmin
Chloride
Cholesterol, High Density Lipoprotein (HDL)
Cholesterol, Total
Cholinesterase
Cortisol
Creatine Kinase (CK)
Creatinine
Digoxin
Folate
Gamma Glutamyltransferase (GGT)
Gentamicin
Glucose
Haptoglobin
Immunoglobulin A (IgA)
Immunoglobulin G (IgG)
Immunoglobulin M (IgM)
Iron
Lactate (Lactic Acid)
Lactate Dehydrogenase (LDH)
LAP - Arylamidase
Lipase
Lithium
Magnesium
Osmolality
Phenobarbital
Phenytoin
Phosphorus
Potassium
Prostate Specific Antigen (PSA)
Prostatic Acid Phosphatase (PAP)
Protein Electrophoresis
Protein, Total
Salicylate
Sodium
T3 Total
T3 Uptake
T4 Total
Theophylline
Thyroid Stimulating Hormone (TSH)
Thyroxine Binding Globulin (TBG)
Tobramycin
Transferrin
Triglycerides
Urea
Urea Nitrogen
Uric Acid
Valproic Acid

Class I Classifications: JJY Product Code: CFR 862.1660 Regulation Number:

Device to Which Substantial Equivalence is Claimed 3.0

Lyphochek Assayed Chemistry Control Bio-Rad Laboratories Irvine, California

Docket Number: K87'4280

4.0 Description of Device

Lyphochek Assayed Chemistry Control is prepared from human serum with added constituents of purified biochemicals (tissue extracts of human and animal origin), chemicals, therapeutic drugs, preservatives and stabilizers. The control is provided in lyophilized form.

5.0 Statement of Intended Use

Lyphochek Assayed Chemistry Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.

Comparison of the new device with the Predicate Device 6.0

Lyphochek Assayed Chemistry Control claims substantial equivalence to the Lyphochek Assayed Chemistry Control currently in commercial distribution (K874280).

1

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

Statement of Supporting Data 7.0

Stability studies have been performed to determine the open vial stability and shelf life for the Lyphochek Assayed Chemistry Control. Product claims are as follows:

  • Open vial: All analytes will be stable for 7 days at 2 to 8°C with the following exceptions: 7.1 Open vial Acid Prostatic Acid Phosphatase will be stable for 3 days.

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  • After reconstitution and freezing: All analytes will be stable for 30 days when stored at -7.2 ARCH Foodnetication of Tobramycin which will be stable for 20 days.
  • Shelf Life: 3 Years + 4 Months at 2 to 8°C 7.3
  • Real time studies will be ongoing to support the shelf life of this product. 7 4

All supporting data is retained on file at Bio-Rad Laboratories.

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and 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 a stylized image of three human figures, represented by flowing lines, symbolizing the department's focus on people and their well-being.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAR - 4 2004

Ms. Elizabeth Platt Regulatory Affairs Manager/Quality Assurance Bio-Rad Laboratories, QSD 9500 Jeronimo Road Irvine, CA 92618-2017

K040273 Re:

Trade/Device Name: Lypochek Assayed Chemistry Control Regulation Number: 21 CFR 862.1660 Regulation Name: Quality control material (assayed and unassayed) Regulatory Class: Class I Product Code: JJY Dated: January 23, 2004 Reccived: February 5, 2004

Dear Ms. Platt:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have cletermined the device is substantially equivalent (for the indications for use stated in the enclosurc) 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, ate 1606 that 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 I ou mays arouvisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adultcration.

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 or any I 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) I his lotter will and in your e FDA finding of substantial equivalence of your device to a legally prematicated 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, rr you decire 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 I ou the) 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.

Jean M. Cooper, MS, DVM.

Jean 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): _K040273

Lyphochek Assayed Chemistry Control Device Name:

Indications for Use:

For use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.

(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

Carol C. Benson
Division Sign-Off

Office of In Vitro Dlagnostic Office Evaluation and Safety

510(k) K040273