K Number
K040758
Device Name
MGC DAU CONTROL SETS: PRIMARY, CLINICAL AND SELECT
Manufacturer
Date Cleared
2004-05-28

(64 days)

Product Code
Regulation Number
862.3280
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MGC DAU Control Set consists of unassayed controls intended for use in the validation of drug of abuse assays performed using human urine.
Device Description
Each configuration of the MGC DAU Control Sets is prepared in a human wine matrix, with stabilizers and preservatives added. As is shown in the table below, the MGC DAU Control Set is offered in three configurations differing only in the concentration and number of analytes offered.
More Information

Not Found

No
The document describes a control set for drug of abuse assays, which are chemical reagents, and explicitly states "Not Found" for mentions of AI, DNN, or ML.

No
The device is described as an "unassayed control intended for use in the validation of drug of abuse assays," indicating it is used for testing and validating other diagnostic assays, not for treating a condition directly.

No

Explanation: The device is described as "unassayed controls intended for use in the validation of drug of abuse assays," indicating it is used to validate tests, not to perform diagnosis itself.

No

The device description explicitly states it is prepared in a human urine matrix and includes stabilizers and preservatives, indicating it is a physical control material, not software.

Based on the provided text, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use explicitly states it's for "validation of drug of abuse assays performed using human urine." This clearly indicates it's used in vitro (outside the body) to test a biological sample (human urine) for diagnostic purposes (validating drug of abuse assays).
  • Device Description: The description mentions it's prepared in a "human wine matrix" and used with "human urine," further supporting its use with biological samples.
  • Predicate Device: The mention of a predicate device (K951135; Multi-Drug Control Set) which is also likely an IVD, strengthens the conclusion that this device falls under the IVD category.

The core function of the device is to be used in vitro to assess the performance of other diagnostic tests (drug of abuse assays), which is a defining characteristic of an IVD.

N/A

Intended Use / Indications for Use

The MGC DAU Control Set consists of unassayed controls intended for use in the validation of drug of abuse assays performed using human urine.

Product codes

DIF

Device Description

Each configuration of the MGC DAU Control Sets is prepared in a human wine matrix, with stabilizers and preservatives added. As is shown in the table below, the MGC DAU Control Set is offered in three configurations differing only in the concentration and number of analytes offered.

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K951135

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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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SECTION II

510(k) SUMMARY

This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

510(k) Number: K646758

Submitter:

Microgenics Corporation 46360 Fremont Blvd Fremont, CA 94538 Telephone: (510)-979-5012 Facsimile: (510) 979-5212

Contact Person:

David Casal, Ph.D. Vice-President, Clinical, Regulatory and Quality Affairs Telephone: (510)-979-5012 Facsimile: (510) 979-5212

Preparation Date:

March 23, 2004

Device Information:

Device Classification Name:Drug Mixture Control Materials
Device DescriptionClinical toxicology control material
Proprietary Name:MGC DAU Control Sets: Primary, Clinical and Select
Regulation Number:21 CFR§862.3280
Product Code:DIF
Regulatory Class:Class I

Predicate Devices:

Evaluation of the data and results enclosed herein demonstrate that each configuration of the MGC DAU Control Sets is substantially equivalent in form and function to the Muli-Drug Control Set (K951135) for its stated intended use.

1

Device Description:

Each configuration of the MGC DAU Control Sets is prepared in a human wine matrix, with stabilizers and preservatives added. As is shown in the table below, the MGC DAU Control Set is offered in three configurations differing only in the concentration and number of analytes offered.

ConfigurationDrugLow (ng/mL)High (ng/mL)
PrimaryBenzoylecgonine225375
EDDP7501250
d-Methamphetamine7501250
Methadone225375
Methaqualone225375
Opiates15002500
Benzodiazepenes225375
Phencyclidine1931
Propoxyphene225375
Barbituates225375
ClinicalBenzoylecgonine225375
EDDP75125
d-Methamphetamine375625
Methadone225375
Methaqualone225375
Opiates225375
Benzodiazepenes225375
Phencyclidine1931
Propoxyphene225375
Barbituates225375
Select6-Acetylmorphine7.512.5
Benzoylecgonine112.5187.5
LSD0.30.7
MDMA375625
Benzodiazepenes225375

Intended Use:

The MGC DAU Control Set consists of unassayed controls intended for use in the validation of drug of abuse assays performed using human urine.

2

Comparison to Predicate Device(s):

The MGC DAU Control Set is substantially equivalent to the Multi-Drug Control Set (K951135), also manufactured by Microgenics and previously cleared by FDA, for its stated intended use.

| Device

CharacteristicsSubject DevicePredicate Device (K951135)
Intended UseThe MGC DAU Control Set consists
of unassayed controls intended for use
in the validation of drug of abuse
assays performed using human urine.The Multi-Drug Controls are for use
as unassayed control material with
drugs of abuse assays.
Analytes
(by configuration)Primary:
Benzoylecgonine
EDDP
d-Methamphetamine
Methadone
Methaqualone
Opiates1
Benzodiazapenes2
Phencyclidine
Propoxyphene
Barbituates3

Clinical:
Benzoylecgonine
EDDP
d-Methamphetamine
Methadone
Opiates1
Benzodiazapenes2
Phencyclidine
Propoxyphene
Barbituates3

Select:
6-Acetylmorphine
Benzoylecgonine
LSD
MDMA
Benzodiazapenes4 | Benzoylecgonine
EDDP
LSD
d-Methamphetamine
Methadone
Methaqualone
Opiates1
Benzodiazapenes4
Phencyclidine
Propoxyphene
Barbituates3 |
| Matrix | Urine | Urine |
| Control Form | Liquid | Liquid |
| Control Levels | Two: Low and High | Two: Low and High |
| Storage | 2°C to 8°C until expiration date | 2°C to 8°C until expiration date |
| Stability | Until expiration date noted on vial
label | Until expiration date noted on vial
label |

Morphine 2 Oxazepam Secobarbital Nitrazepam

Summary:

The information provided in this pre-market notification demonstrates that each configuration of the MGC DAU Control Set is substantially equivalent in form and function to the Multi-Drug Control Set (K951135) for its stated intended use. Substantial equivalence was demonstrated through comparison of intended use and physical properties to the commercially available predicate devices. The information supplied in

3

this pre-market notification provides reasonable assurance that each configuration of the MGC DAU Control Set is safe and effective for its stated intended use.

  1. September 19.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

:

:

:

:

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus or a series of flowing lines, which is the main emblem of the department.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAY 2 8 2004

David Casal, Ph.D Vice-President, Clinical, Regulatory and Quality Affairs Microgenics Corp. 46360 Fremont Blvd. Fremont, CA 94538

Rc: K040758

Trade/Device Name: MGC DAU Control Sets: Primary, Clinical and Select Regulation Number: 21 CFR 862.3280 Regulation Name: Clinical toxicology control material Regulatory Class: Class I Product Code: DIF Dated: March 23, 2004 Received: April 12, 2004

Dear Dr. Casal:

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 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 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.

Jean M. Cooper, US, Div.

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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INDICATIONS FOR USE

510(k) Number (if known): K040758

MGC DAU Control Sets: Primary, Clinical and Select Device name:

Indications for Use:

The MGC DAU Control Set consists of controls intended for use in the validation of drug of abuse assays performed using human urine.

Prescription Use _ ಸ್ (Part 21 CFR §801 Subpart D) AND/OP.

Over-the Counter Use (21 CFR §807 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Dberto

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K040758

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