K Number
K041666
Device Name
DC-ACETA/SAL CONTROLS
Date Cleared
2004-08-17

(60 days)

Product Code
Regulation Number
862.3280
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For in vitro diagnostic use in quality control procedures to monitor the accuracy and precision of manual and automated acetaminophe salicylate assays.
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary describes a quality control material for assays and contains no mention of AI or ML.

No
The device is intended for in vitro diagnostic use in quality control procedures, not for treating any condition or disease.

Yes
The "Intended Use / Indications for Use" states "For in vitro diagnostic use in quality control procedures...".

No

The provided 510(k) summary describes an in vitro diagnostic quality control material, which is a physical substance used to monitor assay performance, not a software-only device.

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

The "Intended Use / Indications for Use" explicitly states:

"For in vitro diagnostic use in quality control procedures to monitor the accuracy and precision of manual and automated acetaminophe salicylate assays."

This clearly indicates that the device is intended to be used in vitro (outside of the body) for diagnostic purposes (monitoring the performance of diagnostic assays).

N/A

Intended Use / Indications for Use

For in vitro diagnostic use in quality control procedures to monitor the accuracy and precision of manual and automated acetaminophe salicylate assays.

Product codes

DIF

Device Description

Not Found

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)

Not Found

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

Not Found

Predicate Device(s)

Not Found

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.

0

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird-like figure with three curved lines representing its wings or body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the bird symbol. The logo is simple and monochromatic.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

AUG 1 7 2004

Ms. Nancy Olscamp External Regulatory Affairs Coordinator Diagnostic Chemicals Limited 16 McCarville Street Charlottetown, PE Canada C1E 2A6

K041666 Re: Trade/Device Name: DC Aceta/ Sal Control, Cat. Nos. SE-008/SE-010 Regulation Number: 21 CFR 862.3280 Regulation Name: Clinical toxicology control material Regulatory Class: Class I Product Code: DIF Dated: June 16, 2004 Received: June 23, 2004

Dear Ms. Olscamp:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave rovewed your beeermined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for as stated in the encreated of 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 may, mererere, mains 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 it may be subject to satin additions (CFR), Parts 800 to 895. In addition, FDA ean or lound in 1100 ements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean r toase be 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 odetar blanded 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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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 preched 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 yourstions 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 Fouring 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, 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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(K) NotificationDiagnostics Chemicals Limited DC Aceta/Sal, Cat. Nos. SE-008/SE
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INDICATIONS FOR USE

510(k) Number:K041666
Device Name:DC Aceta/Sal Control, Cat. Nos. SE-008/SE- 010
Indications for Use:For in vitro diagnostic use in quality control procedures to monitor the accuracy and precision of manual and automated acetaminophe salicylate assays.
Prescription Use:✓ And/or Over-the-Counter Use (OTC):
(Part 21 CFR 801 Subpart D)(21 CFR 807 Subpa

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Carol Benson
Division Sign-Off

Division Sign-Off

Office of in Vitro Diagnostic
Device Evaluation and Safety

510(k) K041666