K Number
K071039
Device Name
MISSION OLYMPUS AU ISE CALIBRATORS
Date Cleared
2007-08-08

(118 days)

Product Code
Regulation Number
862.1150
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Mission Olympus AU ISE Calibrators are intended to provide calibration points for Na+, K+ and Cl- electrodes on the Olympus AU4xx and AU6xx instruments. For in-vitro diagnostics use.
Device Description
Mission Olympus AU ISE Calibrators are intended to serve as a direct replacement to Olympus AU ISE Calibrators. They are aqueous solutions of salts & preservatives, containing NO human or animal materials, packaged in plastic bottles.
More Information

AUH1012, AUH1014, AUH1015, AUH1016

Not Found

No
The device description and performance studies focus on chemical calibrators for laboratory instruments, with no mention of AI or ML.

No.
The device is a calibrator for in-vitro diagnostic instruments, used to provide calibration points for electrodes, not for direct therapeutic intervention on a patient.

No
The device is a calibrator for diagnostic instruments, not a diagnostic device itself. It provides calibration points for electrodes on instruments like the Olympus AU4xx and AU6xx, which are used for in-vitro diagnostics.

No

The device description explicitly states it is composed of "aqueous solutions of salts & preservatives, containing NO human or animal materials, packaged in plastic bottles," indicating it is a physical product, not software.

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

The "Intended Use / Indications for Use" section explicitly states: "For in-vitro diagnostics use."

N/A

Intended Use / Indications for Use

Mission Olympus AU ISE Calibrators are intended to provide calibration points for Na+, K+ and Cl- electrodes on the Olympus AU4xx and AU6xx instruments.

For In Vitro Diagnostic Use

Mission Olympus AU ISE Calibrators are intended to provide calibration points for Na+, K+ and Cl- electrodes on the Olympus AU400 and AU600 instruments.

For In Vitro Diagnostic Use

Product codes

JIT

Device Description

Mission Olympus AU ISE Calibrators are intended to serve as a direct replacement to Olympus AU ISE Calibrators.

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)

Tests were conducted to verify specific performance requirements:

  • Accelerated (high temperature) stress test to support stability a.
  • Side by side testing of Mission Olympus AU ISE Calibrators vs. Predicate (OEM) product on intended b. instruments to demonstrate equivalence

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

Not Found

Predicate Device(s)

AUH1012, AUH1014, AUH1015, AUH1016

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1150 Calibrator.

(a)
Identification. A 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. (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.

0

Diamond Diagnostics 510(k) Submission for Olympus AU ISE Calibrators

4. 510(k) Summary

Owner's Name & Address:

Diamond Diagnostics Inc 333 Fiske Street Holliston MA 01746 FAX: 508-429-0452

Establishment Registration Number: 3003030793

Date of Preparation: Identification of the Device:

April 10, 2007

Contact Person:

Kathryn Thorsen

508-429-0450 x357

Quality Assurance Manager

Proprietary/Trade name: Mission Olympus AU ISE Calibrators Common name Calibrating Standard Classification name: Calibrator, Secondary (21 CFR 862.1150, Product Code JIT). The product code of JIT has been assigned to this device in the Classification Database.

Substantial Equivalence Table of Product Part Numbers & Trade Names

Diamond/Mission ProductOlympus Equivalent
OY-AUH1012D ISE Mid StandardAUH1012 ISE Mid Standard
OY-AUH1014D ISE Low StandardAUH1014 ISE Low Standard
OY-AUH1015D ISE High StandardAUH1015 ISE High Standard
OY-AUH1016D Low/High Urine StandardAUH1016 Low/High Urine Standard

Description of Device:

Mission Olympus AU ISE Calibrators are intended to serve as a direct replacement to Olympus AU ISE Calibrators.

Intended Use:

Mission Olympus AU ISE Calibrators are intended to provide calibration points for Na+, K+ and Cl- electrodes on the Olympus AU4xx and AU6xx instruments.

CharacteristicsMission Olympus AU ISE CalibratorsOlympus AU ISE Calibrators
PNOY-AUH1012D, OY-AUH1014D, OY-AUH1015D,
OY-AUH1016DAUH1012, AUH1014, AUH1015, AUH1016
Contents:Aqueous solution of salts & preservatives
Contains NO human or animal materials.Aqueous solution of salts & preservatives
Contains NO human or animal materials.
ContainerPlastic bottlesPlastic bottles
ColorClear solutionClear solution
PackageOY-AUH1012D: 4 x 2L bottles in corrugated box,
OY-AUH1014D & OY-AUH1015D: 4 X 100mL
bottles with dropper tips & caps in corrugated box,
OY-AUH1016D: 2 x 100mL Low Urine Standard
(OY-AUH1016AD) & 2 x 100mL High Urine
Standard (OY-AUH1016BD) all in plastics bottles
with dropper tips & caps in corrugated boxAUH1012: 4 x 2L bottles in corrugated box,
AUH1014 & AUH1015: 4 X 100mL bottles with
dropper tips & caps in corrugated box, AUH1016:
2 x 100mL Low Urine Standard & 2 x 100mL High
Urine Standard all in plastics bottles with dropper
tips & caps in corrugated box
Intended UseFor in-vitro diagnostics use to provide calibration
points for Na+, K+ and Cl- electrodes on the
Olympus AU4xx and AU6xx instruments.For in-vitro diagnostics use to provide calibration
points for Na+, K+ and Cl- electrodes on the
Olympus AU4xx and AU6xx instruments.
Storage / Shelf
Life18-25°C 24-months18-25°C 24-months

Technological Characteristics:

K071039

AUG - 8 2007

1

K071039

page 2 of 2

Assessment of Non-Clinical Performance Data:

Tests were conducted to verify specific performance requirements:

  • Accelerated (high temperature) stress test to support stability a.
    Alian (ti
    • Side by side testing of Mission Olympus AU ISE Calibrators vs. Predicate (OEM) product on intended b. instruments to demonstrate equivalence

Assessment of Clinical Performance Data: NA

Conclusions:

Comparison of technological characteristics, formulation and intended use to predicate devices listed in this summary support the claim of substantial equivalence.

2

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 stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" are arranged in a circle around the eagle. The eagle is depicted in black and white, and the text is also in black.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Diamond Diagnostics Inc. c/o Ms. Kathryn Thorsen Quality Assurance Manager 333 Fiske Street Holliston, MA 01746

AUG - 8 2007

Re: K071039 Trade/Device Name: Mission Olympus AU ISE Calibrators Regulation Number: 21 CFR§862.1150 Regulation Name: Calibrator Regulatory Class: Class II Product Code: JIT Dated: June 22, 2007 Received: June 25, 2007

Dear Ms. Thorsen:

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).

3

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 (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.

Jean 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

4

4. Indications for Use Statement

510(k) Number (if known): K071039

Device Name: Mission Olympus AU ISE Calibrators

Indications For Use:

Mission Olympus AU ISE Calibrators are intended to provide calibration points for Na+, K+ and Cl- electrodes on the Olympus AU400 and AU600 instruments.

For In Vitro Diagnostic Use

Prescription Use × (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 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)

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

§10(k) K071039