K Number
K043108
Date Cleared
2004-12-07

(28 days)

Product Code
Regulation Number
862.1660
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Liquichek Specialty Immunoassay Control is intended for use as a quality control serum to monitor the precision of laboratory testing procedures listed in the package insert.

Device Description

Liquichek Specialty Immunoassay Control is prepared from human serum with added constituents of human and animal origin, chemicals, stabilizers, and preservatives. This provided in liquid form.

AI/ML Overview

Here's an analysis of the provided text regarding the Liquichek Specialty Immunoassay Control, extracting the requested information:

1. Table of Acceptance Criteria and Reported Device Performance

For this device, "acceptance criteria" and "reported device performance" are primarily related to its stability as a quality control material. The document doesn't present a traditional "performance" in terms of diagnostic accuracy (like sensitivity/specificity) but rather the duration for which it can reliably perform its intended function of monitoring precision.

Acceptance Criteria/Performance AspectReported Device Performance
Open Vial Stability (2-8°C)30 days
Exception for Anti-Tg and Anti-TPO21 days
Shelf Life Stability (-20 to -70°C)2 Years

2. Sample Size Used for the Test Set and Data Provenance

The provided text does not specify a sample size for any test set or the data provenance (e.g., country of origin, retrospective/prospective). It simply states that "Stability studies have been performed..." and "All supporting data is retained on file at Bio-Rad Laboratories."

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Experts

This information is not provided in the document. For a quality control material, "ground truth" would typically refer to the accurately assigned values for each analyte within the control material. This is usually established through highly accurate reference methods or certified reference materials, not necessarily by a panel of human experts in the diagnostic sense.

4. Adjudication Method for the Test Set

This information is not provided in the document. As this is a quality control material and not a diagnostic device with subjective interpretations, traditional adjudication methods are not applicable.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size

No, an MRMC comparative effectiveness study was not done. This type of study is relevant for diagnostic devices where human readers interpret results, and the AI's impact on their performance is being evaluated. This document describes a quality control material, not a diagnostic device intended for human interpretation.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

No, a standalone performance study in the context of an "algorithm" or "AI" was not performed. This device is a biochemical control material, not an AI software or algorithm. Its performance is related to its chemical stability and its ability to maintain known analyte concentrations over time.

7. The Type of Ground Truth Used

The "ground truth" for a quality control material like this would be the assigned target values and acceptable ranges for each analyte within the control. These values are typically established through rigorous analytical testing using reference methods and/or certified reference materials during the manufacturing process. The document does not explicitly state the methodology for establishing these initial values, but it's inherent to the nature of a quality control product.

8. The Sample Size for the Training Set

This information is not applicable and therefore not provided. This device is a physical biochemical product, not an AI algorithm that requires a "training set."

9. How the Ground Truth for the Training Set Was Established

This information is not applicable and therefore not provided. As explained above, there is no "training set" for this type of device.

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Summary of Safety and Effectiveness Liquichek Spacialty Immunoassay Control

1.0 Submitter

DEC - 7 2004

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

Contact Person

Suzanne Parsons Regulatory Affairs Specialist Telephone: (949) 598-1467

Date of Summary Preparation

November 2, 2004

2.0 Device Identification

Product Trade Name:Liquichek Specialty Immunoassay Control
Common Name:Multi-analyte controls, (assayed and unassayed)
Classifications:Class I
Product Code:JJY
Regulation Number:21 CFR 862.1660

3.0 Device to Which Substantial Equivalence is Claimed

Lyphochek Immunoassay Plus Control Bio-Rad Laboratories Irvine, California

510 (k) Number: K981532

4.0 Description of Device

Liquichek Specialty Immunoassay Control is prepared from human serum with added constituents of human and animal origin, chemicals, stabilizers, and preservatives. This provided in liquid form.

5.0 Intended Use

Liquichek Specialty Immunoassay Control is intended for use as a quality control serum to monitor the precision of laboratory testing procedures for analyte listed in the package insert.

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6.0 Comparison of the new device with the Predicate Device

Liquichek Specialty Immunoassay Control claims substantial equivalence to the Lyphochek Immunoassay Plus Control currently in commercial distribution (K981532). Both products are serum based products that contain muliple analytes used to monitor precision of laboratory testing procedures.

CharacteristicsBio-Rad LaboratoriesBio-Rad Liquichek Specialty Immunoassay Control(New Device)Bio-Rad LaboratoriesLyphochek Immunoassay PlusControl(Predicate Device K981532)
Similarities
Intended UseLiquichek Specialty Immunoassay Control is intended for use asquality control serum to monitor the precision of laboratory testingprocedures listed in the package insert.Lyphochek Immunoassay Plus Control is intended for use asquality control serum to monitor the precision of laboratory testingprocedures listed in the package insert
StabilizersContains StabilizersContains Stabilizers
MatrixHuman SerumHuman Serum
Differences
FormLiquidLyophilized
PreservativesContains PreservativesNone
Storage(Unopened)-20 to -70°CUntil expiration date2 to 8°CUntil expiration date
Open Vial30 days at 2-8°C with the following exceptions: Anti-Tg and Anti-TPO will be stable for 21 days7 days at 2 to 8 °C with the following exceptions: (1) Folate andPSA will be stable for 3 days after reconstitution, (2) C-Peptidewill be stable for 1 day, (3) Intact PTH will be stable for 16 hoursafter reconstitution, and (4) ACTH, Calcitonin, Gastrin and FreePSA should be assayed immediately after reconstitution.
Alternate storageNoneAfter reconstituting and freezing: all analytes will be stable for 20at -10 to -20°C with the following exceptions: no frozen stabilityclaim is supplied for ACTH, Aldosterone, Androstenedione,Calcitonin and C-Peptide.
AnalytesContains only the following analytes:• Anti-Tg• Anti-TPO• C-peptide• Erythropoietin (EPO)• Intact PTH (iPTH)• IGF-I• Osteocalcin• 25-OH Vitamin DContains the following analytes:Multi anlyte including:• 25-OH Vitamin D• C-peptide• Intact PTH (iPTH)Does not contain:• Anti-Tg• Anti-TPO• Erythropoietin (EPO)• IGF-I• Osteocalcin

Table 1. Similarities and Differences between new and predicate device

7.0 Statement of Supporting Data

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

7.1Open vial30 days at 2°C to 8°C with the following exceptions: Anti-Tg and Anti-TPO will be stable for 21 days
7.2Shelf Life Stability2 Years at -20 to -70°C

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

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/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 words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines. The logo is rendered in black and white.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

DEC - 7 2004

Ms. Suzanne S. Parsons Regulatory Affairs Specialist Bio-Rad Laboratories. Inc. 9500 Jeronimo Rd. Irvine, CA 92618-2017

Re: K043108

Trade/Device Name: Liquichek Specialty Immunoassay Control Regulation Number: 21 CFR 862.1660 Regulation Name: Quality Control Material (Assayed and Unassayed) Regulatory Class: Class I Product Code: JJY Dated: November 4, 2004 Received: November 9, 2004

Dear Ms Parsons:

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 the Code of Federal Regulations, Title 21, Parts 800 to 898. 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 Part 801); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. 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 legally

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Page 2 – Ms. Suzanne S. Parsons

marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (240) 276-3084. 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,

Lala M. Beattie/

Robert L. Becker, Jr., M.B., PhD Director Division of Immunology and Hematology Devices 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):K043108
Device Name:Liquichek Specialty Immunoassay Control
Indications For Use:Liquichek Specialty Immunoassay Control is intended for use as aquality control serum to monitor the precision of laboratory testingprocedures listed in the package insert.

× Prescription Use_ (Part 21 CFR 801 Subpart D) AND/OR

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)


Mana Clan

Page 1 of ____________________________________________________________________________________________________________________________________________________________________

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K043108

§ 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.