K Number
K070824
Device Name
CREATININE (ENZYMATIC)
Date Cleared
2007-12-03

(252 days)

Product Code
Regulation Number
862.1225
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CREATININE (Enzymatic) is intended for quantitative in-vitro diagnostic determination of creatinine concentration in human serum, plasma (Li-heparin) or urine using T60 Clinical Chemistry Analyzers. Measurement of creatinine levels aids in the diagnosis and treatment of certain renal disease, in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes. sCal: For in vitro diagnostic use on T60 analyzer. sCal is used as a multicalibrator for quantitative measurements using methods defined by Thermo Fisher Scientific Oy. Nortrol: For in vitro diagnostic use for quantitative testing on T60 analyzer. Nortrol is a control serum to monitor trueness and precision of the analytes listed in the separate Nortrol value sheet. The given values are valid for T60 Clinical Chemistry Analyzers using methods defined by Thermo Fisher Scientific Oy. Abtrol: For in vitro diagnostic use for quantitative testing on T60 analyzer. Abtrol is a control serum to monitor trueness and precision of the analytes listed in the separate Abtrol value sheet. The given values are valid for T60 Clinical Chemistry Analyzers using methods defined by Thermo Fisher Scientific Oy.
Device Description
Not Found
More Information

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No
The summary describes a standard in-vitro diagnostic assay for creatinine measurement using a clinical chemistry analyzer. There is no mention of AI, ML, or any computational analysis beyond basic quantitative calculations and statistical analysis of performance data.

No

The device is an in-vitro diagnostic assay for measuring creatinine levels, which aids in diagnosis and monitoring, rather than directly providing therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states that the device is "intended for quantitative in-vitro diagnostic determination of creatinine concentration" and that "Measurement of creatinine levels aids in the diagnosis and treatment of certain renal disease, in monitoring renal dialysis". This clearly indicates its use in the diagnosis of medical conditions.

No

The device is an in-vitro diagnostic reagent kit (CREATININE (Enzymatic), sCal, Nortrol, Abtrol) used with a specific clinical chemistry analyzer (T60). These are physical components, not software only.

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

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

  • "The CREATININE (Enzymatic) is intended for quantitative in-vitro diagnostic determination of creatinine concentration in human serum, plasma (Li-heparin) or urine..."
  • "sCal: For in vitro diagnostic use on T60 analyzer."
  • "Nortrol: For in vitro diagnostic use for quantitative testing on T60 analyzer."
  • "Abtrol: For in vitro diagnostic use for quantitative testing on T60 analyzer."

These statements clearly indicate that the device and its associated components (calibrator and controls) are intended for use in testing biological samples outside of the body to aid in diagnosis and treatment.

N/A

Intended Use / Indications for Use

CREATININE (Enzymatic):
For in vitro diagnostic use in the quantitative determination of creatinine concentration in human serum, plasma or urine on T60 instrument using enzymatic method.
The CREATININE (Enzymatic) is intended for quantitative in-vitro diagnostic determination of creatinine concentration in human serum, plasma (Li-heparin) or urine using T60 Clinical Chemistry Analyzers. Measurement of creatinine levels aids in the diagnosis and treatment of certain renal disease,in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes.

sCal:
For in vitro diagnostic use on T60 analyzer. sCal is used as a multicalibrator for quantitative measurements using methods defined by Thermo Fisher Scientific Oy.

Nortrol:
For in vitro diagnostic use for quantitative testing on T60 analyzer. Nortrol is a control serum to monitor trueness and precision of the analytes listed in the separate Nortrol value sheet. The given values are valid for T60 Clinical Chemistry Analyzers using methods defined by Thermo Fisher Scientific Oy.

Abtrol:
For in vitro diagnostic use for quantitative testing on T60 analyzer. Abtrol is a control serum to monitor trueness and precision of the analytes listed in the separate Abtrol value sheet. The given values are valid for T60 Clinical Chemistry Analyzers using methods defined by Thermo Fisher Scientific Oy.

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

JFY, JIX, JJY

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

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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)

Precision (Serum/plasma):

  • Within run:
    • Level 0.43 mg/dL: SD= 0.006, CV(%)= 1.5
    • Level 1.75 mg/dL: SD=0.008, CV(%)=0.4
    • Level 5.47 mg/dL: SD= 0.021, CV(%)=0.4
  • Between run:
    • Level 0.43 mg/dL: SD= 0.002, CV(%)=0.4
    • Level 1.75 mg/dL: SD=0.008, CV(%)=0.5
    • Level 5.47 mg/dL: SD= 0.015, CV(%)=0.3
  • Total:
    • Level 0.43 mg/dL: SD= 0.009, CV(%)=2.2
    • Level 1.75 mg/dL: SD= 0.026, CV(%)= 1.5
    • Level 5.47 mg/dL: SD= 0.076, CV(%)= 1.4

Precision (Urine):

  • Within run:
    • Level 76 mg/dL: SD= 0.7, CV(%)= 1.0
    • Level 90 mg/dL: SD= 0.8, CV(%)=0.8
    • Level 165 mg/dL: SD= 1.4, CV(%)=0.9
    • Level 251 mg/dL: SD= 2.2, CV(%)=0.9
  • Between run:
    • Level 76 mg/dL: SD= 0.6, CV(%)=0.8
    • Level 90 mg/dL: SD= 0.4, CV(%)=0.5
    • Level 165 mg/dL: SD= 1.9, CV(%)= 1.2
    • Level 251 mg/dL: SD= 2.3, CV(%)=0.9
  • Total:
    • Level 76 mg/dL: SD= 2.7, CV(%)= 3.5
    • Level 90 mg/dL: SD= 2.8, CV(%)= 3.1
    • Level 165 mg/dL: SD= 5.7, CV(%)= 3.5
    • Level 251 mg/dL: SD= 8.7, CV(%)= 3.5

Method Comparison (with Roche/Hitachi 917 analyzer):

  • Serum:
    • y = 1.01x - 0.001
    • R = 1.000
    • Range 0.12 to 24 mg/dL
    • N = 41
  • Plasma:
    • Deming: y = 0.97 - 0.02
    • r = 1.000
    • Range 0.27 to 27.58 mg/dL
    • N = 52
  • Urine:
    • y = 1.03x + 1.34
    • R = 0.999
    • Range 2.33 to 422 mg/dL
    • N = 135

Limitations (Interference Studies):

  • Serum/plasma:
    • Lipemia: No interference up to 1000 mg/dL (10 g/l) of Intralipid.
    • Hemolysate: No interference up to 1000 mg/dL (10 g/l) of hemoglobin.
    • Bilirubin, conjugated: No interference up to 17 mg/dL (300 µmol/l).
    • Bilirubin, unconjugated: No interference up to 23 mg/dL (400 µmol/l).
    • Ascorbic acid: No interference up to 1.70 mmol/L (30 mg/dL).
    • Creatine: No interference up to 1.53 mmol/L (20 mg/dL).
    • Drugs: Levodopa and calcium dobesilate cause artificially low creatinine levels.
  • Urine:
    • Hemolysate: No interference up to 1000 mg/dL (10 g/l) of hemoglobin.
    • Bilirubin, conjugated: No interference up to 58 mg/dL (1000 µmol/l).
    • Glucose: No interference up to 2500 mg/dL (139 mmol/l).
    • Ascorbic acid: No interference up to 100 mg/dL (5.7 mmol/l).
    • Drugs: Levodopa causes artificially low results.

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.

K024098

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

§ 862.1225 Creatinine test system.

(a)
Identification. A creatinine test system is a device intended to measure creatinine levels in plasma and urine. Creatinine measurements are used in the diagnosis and treatment of renal diseases, in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes.(b)
Classification. Class II.

0

510(k) SUMMARY

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

The assigned 510(k) number is: K070824_

A. Introduction:

DEC 03 2007

According to the requirements of 21 CFR 807.92 the following information provides sufficent detail to understand the basis for a determination of substantial equivalence.

B.Submitter's information
Name:Thermo Fisher Scientific Oy
Address:Ratastie 2
P.O. Box 100
FIN-01621 Vantaa
Finland
Phone:+358 (9) 329 100 tel
Fax:+358 (9) 3291 0500 fax
Contact person:Päivi Sormunen, Vice President of QRC
Date of Preparation:October 16th, 2007
C.Device name
Proprietary name:CREATININE (Enzymatic), code 981845
Common name:CREATININE (Enzymatic)
Classification:Clinical Chemistry
Class:II
Product Code:JFY
Proprietary name:sCal, code 981831
Common Name:Calibrator, Multi-Analyte Mixture
Classification:Clinical Chemistry
Class:II
Product Code:JIX
Proprietary name:Nortrol, code 981043
Common Name:Multi-analyte Controls (Assayed and unassayed)
Classification:Clinical Chemistry
Class:I
Product Code:JJY
Proprietary name:Abtrol, code 981044
Common Name:Multi-analyte Controls (Assayed and unassayed)
Classification:Clinical Chemistry
Class:I
Product Code:JJY

Thermo Fisher Scientific Oy

Ratastie 2 P.O. Box 100 FIN-01621 Vantaa Finland

+358 (9) 329 100 tel +358 (9) 3291 0500 fax

Y-tunnus 0921547-0 VAT No FI09215470 Domicile Helsinki

1

D. Intended Use

CREATININE (Enzymatic).

For in vitro diagnostic use in the quantitative determination of creatinine concentration in human serum, plasma or urine on T60 instrument using enzymatic method

sCal

For in vitro diagnostic use on T60 analyzer. sCal is used as a multicalibrator for quantitative measurements using methods defined by Thermo Fisher Scientific Oy.

Nortrol

For in vitro diagnostic use for quantitative testing on T60 analyzer. Nortrol is a control serum to monitor trueness and precision of the analytes listed in the separate Nortrol value sheet. The given values are valid for T60 Clinical Chemistry Analyzers using methods defined by Thermo Fisher Scientific Oy.

Abtrol

For in vitro diagnostic use for quantitative testing on T60 analyzer. Abtrol is a control serum to monitor trueness and precision of the analytes listed in the separate Abtrol value sheet. The given values are valid for T60 Clinical Chemistry Analyzers using methods defined by Thermo Fisher Scientific Oy.

Thermo Fisher Scientific Oy

Ratastie 2 P.O. Box 100 FIN-01621 Vantaa Finland

+358 (9) 329 100 tel +358 (9) 3291 0500 fax Y-tunnus 0921547-0 VAT No FI09215470 Domicile Helsinki

2

E. Indications for use

The CREATININE (Enzymatic) is intended for quantitative in-vitro diagnostic determination of creatinine concentration in human serum, plasma (Li-heparin) or urine using T60 Clinical Chemistry Analyzers. Measurement of creatinine levels aids in the diagnosis and treatment of certain renal disease,in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes.

For sCal Calibrator, Nortrol and Abtrol Controls see intended use

F. Substantial Equivalence

Roche Diagnostics Corporation, model COBAS Integra 700 Roche Diagnostics Corporation item: COBAS Integra Creatinine plus ver.2 (K024098).

G. Substantial equivalence -similarities

CREATININE (Enzymatic) is substantially equivalent to other devices legally marketed in United States. We claim equivalence to the Roche Diagnostics Corporation COBAS Integra Creatinine plus ver.2.

Thermo Fisher Scientific Oy

Ratastie 2 P.O. Box 100 FIN-01621 Vantaa Finland

+358 (9) 329 100 tel +358 (9) 3291 0500 fax Y-tunnus 0921547-0 VAT No F109215470 Domicile Helsinki

3

Intended UseFor in vitro diagnostic use in the quantitative determination of creatinine concentration in human serum, plasma or urine on T60 instrument using enzymatic method.The cassette COBAS INTEGRA Creatinine plus ver.2 (CREAP) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA systems for the quantitative determination of the creatinine concentration in serum, plasma and urine.
Indication for UseThe CREATININE (Enzymatic) is intended for quantitative in-vitro diagnostic determination of creatinine concentration in human serum, plasma (Li-heparin) or urine using T60 Clinical Chemistry Analyzers. Measurement of creatinine levels aids in the diagnosis and treatment of certain renal disease, in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes.See intended use.
Assay ProtocolEnzymatic colorimetric assayEnzymatic colorimetric assay
Traceability/StandardizationThe value of Creatinine has been assigned by using NIST SRM 967 (for serum) and NIST SRM 914a (for urine)Method has been standardized against ID/MS
Sample TypeSerum, plasma (Li-heparin) and urineSerum, plasma (Li-heparin, K3-EDTA) and urine
Reagent StorageReagents in unopened vials are stable at 2...8 °C until the expiry date printed on the label.Shelf life at 2 to 8 °C until the expiration date on cassette.

The following table compares the CREATININE (Enzymatic) with the predicate device. Table 1

Thermo Fisher Scientific Oy

Ratastie 2
P.O. Box 100
FIN-01621 Vantaa
FIN-01621 Vantaa
Finland

+358 (9) 329 100 tel
+358 (9) 3291 0500 fax

Y-tunnus 0921547-0
VAT No FI09215470
Domicile Helsinki

4

Expected Values
Serum/plasma
Male: 0.67 – 1.17 mg/dL
Female: 0.51 – 0.95 mg/dL

Urine
Male: 40 – 278 mg/dL
Female: 29 – 226 mg/dL | Serum, plasma:
Adults
Females: 0.51 – 0.95 mg/dL
Males: 0.67 – 1.17 mg/dL

Children
Neonates (premature): 0.33 – 0.98 mg/dL
Neonates (full term): 0.31 – 0.88 mg/dL
2 - 12 m: 0.16 – 0.39 mg/dL
1 -
1mmol/L causes falsely high
results.
Other:
No significant interference up
to a creatine level of 1.53
mmol/L (20 mg/dL) |
| | Urine:
Hemolysate:
No interference found up to 1000
mg/dL (10 g/l) of hemoglobin.
Bilirubin, conjugated:
No interference found up to 58
mg/dL (1000 $\mu$ mol/l) of
conjugated bilirubin.
Glucose:
No interference found up to 2500
mg/dL (139 mmol/l).
Ascorbic acid:
No interference found up to 100
mg/dL (5.7 mmol/l).
Drugs:
Levodopa causes artificially low
results. | Urine:
Drugs:
Levodopa causes artificially
low results
Other:
No significant interference up
to a creatine level of 3.05
mmol/L (40 mg/dL) |

Ratastie 2
P.O. Box 100
FIN-01621 Vantaa
FilN-01621 Vantaa
Finland

+358 (9) 329 100 tel
+358 (9) 3291 0500 fax

Y-tunnus 0921547-0
VAT No FI09215470
Domicile Helsinki

8

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/8/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three curved lines representing its body and wings. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

DEC 0 3 2007

Thermo Fisher Scientific c/o Mr. Päivi Sormunen Vice President of Industrial Solutions and ORC Ratastie 2, P.O. Box 100 01621 Vantaa, Finland

Re: K070824

Trade Name: Creatinine (enzymatic): sCal; Nortrol; Abtrol Regulation Number: 21 CFR §862.1225 Regulation Name: Creatinine test system. Regulatory Class: Class II Product Code: JFY, JIX, JJY Dated: October 23, 2007 Received: October 25, 2007

Dear Mr. Sormunen:

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 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).

9

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 1egally marketed predicate device results in a classification for your device and thus, perroits 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 (240) 276-0490. 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 (240) 276-3150 or at its Internet address at http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

Jean M. Cooper, M.S., D.V.M.

Sean M. Cooper, M.S., 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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Indication for Use

510(k) Number (if known): K070824

Device Name: CREATININE (Enzymatic) sCal Nortrol Abtrol

Indication For Use:

Creatinine (Enzymatic)

The CREATININE (Enzymatic) is intended for quantitative in-vitro diagnostic determination of creatinine concentration in human serum, plasma (Li-heparin) or urine using T60 Clinical Chemistry Analyzers. Measurement of creatinine levels aids in the diagnosis and treatment of certain renal disease, in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes.

sCal

For in vitro diagnostic use on T60 analyzer.

sCal is used as a multicalibrator for quantitative measurements using methods defined by Thermo Fisher Scientific Oy.

Nortrol

For in vitro diagnostic use for quantitative testing on T60 analyzer.

Nortrol is a control serum to monitor trueness and precision of the analytes listed in the separate Nortrol value sheet. The given values are valid for T60 Clinical Chemistry Analyzers using methods defined by Thermo Fisher Scientific Oy.

Abtrol

For in vitro diagnostic use for quantitative testing on T60 analyzer.

Abtrol is a control serum to monitor trueness and precision of the analytes listed in the separate Abtrol value sheet. The given values are valid for T60 Clinical Chemistry Analyzers using methods defined by Thermo Fisher Scientific Oy.

| Prescription Use
(21 CFR Part 801 Subpart D) | And/Or | Over the Counter Use _
(21 CFR Part 801 Subpart C) |
|-------------------------------------------------|--------|-------------------------------------------------------|
| X | | . |

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

Concurrence of CDRH, Office of In Vitro Diagnostic Device Evaluation and Safety (OIVD)

Carol Benson

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K070824