K Number
K053108
Device Name
DIMENSION CSAE CYCLOSPORINE EXTENDED RANGE CALIBRATOR, MODEL DC108
Manufacturer
Date Cleared
2006-02-16

(104 days)

Product Code
Regulation Number
862.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CSAE Calibrator is an in vitro diagnostic product intended to be used to calibrate the Dimension® clinical chemistry system Cyclosporine Fr, it® 2000 Cyclosporine Specific Assay.
Device Description
The Dimension® CSAE Cyclosporine Extended Range Calibrator contains cyclosporine in a preserved whole blood hemolysate. The kit consists of one vial of each calibrator level 0-5. The target concentrations of the calibrator levels are approximately 0, 200, 400, 800, 1400 and 2000 ng/mL of cyclosporine. Level 0 is used for dilution of over-range samples (>2000 ng/mL) in order to obtain Lover o lood for analyange; it is not used in calibration. Levels 1 through 5 are used for calibration of the CSAE Cyclosporine Extended range method for the Dimension® clinical chemistry system or the Syva® Emit® 2000 Cyclosporine Specific Assay.
More Information

Not Found

No
The summary describes a calibrator for a clinical chemistry assay, which is a standard laboratory product and does not mention any AI or ML components.

No
The device is used to calibrate a diagnostic assay, and its description as an "in vitro diagnostic product" indicates it is an analytical tool rather than a device intended for treating or diagnosing a patient directly.

No
Explanation: The device is described as an "in vitro diagnostic product intended to be used to calibrate the Dimension® clinical chemistry system." It functions as a calibrator for a diagnostic assay, rather than performing diagnostic analysis itself.

No

The device description clearly states it is a "preserved whole blood hemolysate" and comes in "vials," indicating it is a physical substance and not solely software.

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

The "Intended Use / Indications for Use" section explicitly states: "The CSAE Calibrator is an in vitro diagnostic product intended to be used to calibrate the Dimension® clinical chemistry system Cyclosporine Fr, it® 2000 Cyclosporine Specific Assay."

This statement directly identifies the device as an in vitro diagnostic product.

N/A

Intended Use / Indications for Use

The Dimension® CSAE Cyclosporine Extended Range Calibrator is an in vitro diagnostic product intended to be used to calibrate the Cyclosporine A, Extended Range method for the Dimension® clinical chemistry system or the Syva® Emit® 2000 Cyclosporine Specific Assay.

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

DLJ

Device Description

The Dimension® CSAE Cyclosporine Extended Range Calibrator contains cyclosporine in a preserved whole blood hemolysate. The kit consists of one vial of each calibrator level 0-5. The target concentrations of the calibrator levels are approximately 0, 200, 400, 800, 1400 and 2000 ng/mL of cyclosporine.

Level 0 is used for dilution of over-range samples (>2000 ng/mL) in order to obtain Lover o lood for analyange; it is not used in calibration. Levels 1 through 5 are used for calibration of the CSAE Cyclosporine Extended range method for the Dimension® clinical chemistry system or the Syva® Emit® 2000 Cyclosporine Specific Assay.

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): 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.

K052015

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

§ 862.3200 Clinical toxicology calibrator.

(a)
Identification. A clinical toxicology 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. A clinical toxicology calibrator can be a mixture of drugs or a specific material for a particular drug (e.g., ethanol, lidocaine, etc.). (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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FEB 1 6 2006

Dade Behring Inc. Dade Behring Inc.
510(k) Premarket Notification – Dimension® CSAE Cyclosporine Extended Range Calibrator

510(k) Summary Emit® 2000 Cyclosporine Specific Assay

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

The assigned 510(k) number is: _______________________________________________________________________________________________________________________________________________

Manufacturer's Name, Address, Telephone, and Contact Person, Date of 1. Preparation

Manufacturer:

P.O. Box 6101. Newark, DE 19714-6101

Dade Behring Inc.

Contact Information:

Dade Behring Inc. P.O. Box 6101 Newark, DE 19714-6101 Attn: Yuk-Ting Lewis Tel: 302-631-7626

Date of Preparation:

Oct. 27, 2005

Device Name / Classification 2.

Dimension® CSAE Cyclosporine Extended Range Calibrator / Class II

Identification of the Predicate Device 3.

Dimension® CSAE Cyclosporine Extended Range Calibrator, K052015

4. Device Description

The Dimension® CSAE Cyclosporine Extended Range Calibrator contains cyclosporine in a preserved whole blood hemolysate. The kit consists of one vial of each calibrator level 0-5. The target concentrations of the calibrator levels are approximately 0, 200, 400, 800, 1400 and 2000 ng/mL of cyclosporine.

Level 0 is used for dilution of over-range samples (>2000 ng/mL) in order to obtain Lover o lood for analyange; it is not used in calibration. Levels 1 through 5 are used for calibration of the CSAE Cyclosporine Extended range method for the Dimension® clinical chemistry system or the Syva® Emit® 2000 Cyclosporine Specific Assay.

1

Device Intended Use 5.

The Dimension® CSAE Cyclosporine Extended Range Calibrator is an in vitro I he Dimension® CSAL Cyclosportio Extended to calibrate the Cyclosporine A, Extended Range diagnostic product intended to be used to canerals are stry system or the Syva® Emit® 2000 Cyclosporine Specific Assay.

Medical device to which equivalence is claimed and comparison information 6.

The Dimension® CSAE Cyclosporine Extended Range Calibrator is equivalent to the The Dimension® Corner Corporation Color K052015. The intended use of this product has been candrator previously of the calibrator with the Emit® 2000 Cyclosporine Specific mouried to menade as of the canolas formulation or operating principle to allow its use With the Emit® 2000 Cyclosporine Specific Assay. The Dimension® CSAE with the Extended Range Calibrator with the modified intended use is substantially equivalent to the cleared Dimension® CSAE Cyclosporine Extended Range Calibrator (K052015).

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/2/Picture/2 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, with three intertwined lines forming a stylized representation of a staff with a serpent coiled around it. The seal is encircled by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" in a circular arrangement.

FEB 1 6 2006

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Yuk-Ting Lewis Regulatory Affairs & Compliance Manager Dade Behring Inc. PO Box 6101, M/S 514 Newark DE 19714-6101

K053108 Re:

R053100
Trade/Device Name: Dimension® CSAE Cyclosporine Extended Range Calibrator Regulation Number: 21 CFR§862.3200 Regulation Name: Clinical toxicology calibrator Regulatory Class: Class II Product Code: DLJ Dated: February 8, 2006 Received: February 9, 2006

Dear Ms. Lewis:

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 for association in the 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 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) I mis icter will and w you to begal finding of substantial equivalence of your device to a legally premarket notification: "The 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 yourstions on the promotion and advertising of your device, please contact the Office of In of quostions on the promie Evaluation and Safety at (240) 276-0484. 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 va may 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/industry/support/index.html.

Sincerely yours,

Alberto G

Alberto Gutierrez, Ph.D. 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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Dade Behring Inc. Dade Behring Inc.
510(k) Premarket Notification -- Dimension® CSAE Cyclosporine Extended Range Calibrator

Indications for Use

510(k) Number (if known):

Dimension® CSAE Cyclosporine Extended Range Calibrator Device Name:

KOS3108

Indications For Use:

The CSAE Calibrator is an in vitro diagnostic product intended to be used to calibrate the The CSAE Calibrator is an in Vitro diagliosus procession® clinical chemistry system Cyclosporine Fr, it® 2000 Cyclosporine Specific Assay.

Prescription Use x (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801)

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

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

Ann Chappie

Page 1 of 1

Affice of In Vitro Diagnostic Device Evaluation and Safety

K053108