K Number
K073355
Device Name
CALCIUM, SCAL, NORTROL, ABTROL
Date Cleared
2008-02-28

(91 days)

Product Code
Regulation Number
862.1145
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Calcium test system is intended for in vitro diagnostic use in the quantitative determination of the calcium concentration in human serum or plasma on T60 instruments. Calcium measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany. For in vitro diagnostic use on T60 instrument. sCal is used as a multicalibrator for quantitative measurements using methods defined by Thermo Fisher Scientific Oy. For in vitro diagnostic use for quantitative testing on T60 instrument. 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 Instruments using methods defined by Thermo Fisher Scientific Oy. For in vitro diagnostic use for quantitative testing on T60 instrument. 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 Instruments using methods defined by Thermo Fisher Scientific Oy.
Device Description
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More Information

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No
The summary describes a standard in vitro diagnostic clinical chemistry assay and instrument, with no mention of AI or ML in the intended use, device description, or performance studies.

No
This device is for in vitro diagnostic use, meaning it's used to test samples from the body to aid in diagnosis, not to treat a condition directly.

Yes
The "Intended Use / Indications for Use" section explicitly states that the Calcium test system is "intended for in vitro diagnostic use in the quantitative determination of the calcium concentration in human serum or plasma" and that "Calcium measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany." This directly indicates its role as a diagnostic device.

No

The device is an in vitro diagnostic (IVD) test system for measuring calcium in serum or plasma, intended for use on a specific instrument (T60). This involves reagents, calibrators, and controls, which are physical components, not solely software.

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

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

  • "The Calcium test system is intended for in vitro diagnostic use in the quantitative determination of the calcium concentration in human serum or plasma..."
  • "For in vitro diagnostic use on T60 instrument."
  • "For in vitro diagnostic use for quantitative testing on T60 instrument."

These statements clearly indicate that the device is intended to be used outside of the body to examine specimens (serum or plasma) for diagnostic purposes.

N/A

Intended Use / Indications for Use

Calcium:
For in vitro diagnostic use in the quantitative determination of the calcium concentration in human serum or plasma on T60 instruments.
Calcium measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany.

sCal, code 981831:
For in vitro diagnostic use on T60 instrument. 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 instrument. 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 Instruments using methods defined by Thermo Fisher Scientific Oy.

Abtrol:
For in vitro diagnostic use for quantitative testing on T60 instrument. 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 Instruments using methods defined by Thermo Fisher Scientific Oy.

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

CJY, 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

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

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Precision:
Serum:
Within run
Level 4.0 mg/dL, SD= 0.04, CV(%)= 1.0
Level 8.4 mg/dL, SD= 0.07, CV(%)=0.8
Level 11.9 mg/dL, SD=0.08, CV(%)=0.7
Between run
Level 4.0 mg/dL, SD= 0.02, CV(%)=0.6
Level 8.4 mg/dL, SD= 0.03, CV(%)=0.4
Level 11.9 mg/dL, SD= 0.08, CV(%)=0.7
Total
Level 4.0 mg/dL, SD= 0.06, CV(%)= 1.6
Level 8.4 mg/dL, SD=0.12, CV(%)= 1.5
Level 11.9 mg/dL, SD= 0.18, CV(%)= 1.5

Method Comparison:
Serum (Comparison to Bayer ADVIA 2400):
y = 1.04 x - 0.002
R = 0.994
range from 0.44 to 18.25 mg/dL
N = 112

Limitations:
Lipemia: No interference found up to 1000 mg/dL (10 g/l) of Intralipid.
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 micromol/l) of conjugated bilirubin.
Bilirubin, unconjugated: No interference found up to 58 mg/dL (1000 micromol/l) of unconjugated bilirubin.

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

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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.

K991576

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.

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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

§ 862.1145 Calcium test system.

(a)
Identification. A calcium test system is a device intended to measure the total calcium level in serum. Calcium measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany (intermittent muscular contractions or spasms).(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo for Thermo Fisher Scientific. The words "Thermo Fisher" are in bold, and the word "SCIENTIFIC" is in a smaller, non-bold font. The logo is simple and professional.

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

K073355 The assigned 510(k) number is:

A. Introduction:

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.

Submitter's information B.

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:November 23rd , 2007

sCal, code 981831

C. Device name

Proprietary name: Common name: Classification: Class: Product Code:

Calcium, codes 981367 and 981772 Calcium Clinical Chemistry II CIY

Proprietary name: Common Name: Classification: Class: Product Code:

Proprietary name: Common Name: Classification: Class: Product Code:

Calibrator, Multi-Analyte Mixture Clinical Chemistry II JIX

Nortrol, code 981043 Multi-analyte Controls (Assayed and unassayed) Clinical Chemistry I JJY

Proprietary name: Common Name: Classification: Class: Product Code:

Abtrol, code 981044 Multi-analyte Controls (Assayed and unassayed) Clinical Chemistry I

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 (1921547-0 VAT No FI09215470 Domicile Helsinki

www.thermo.com

1

D. Intended Use

Calcium

For in vitro diagnostic use in the quantitative determination of the calcium concentration in human serum or plasma on T60 instruments.

sCal, code 981831

For in vitro diagnostic use on T60 instrument. 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 instrument. 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 Instruments using methods defined by Thermo Fisher Scientific Oy.

Abtrol

For in vitro diagnostic use for quantitative testing on T60 instrument. 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 Instruments using methods defined by Thermo Fisher Scientific Oy.

E. Indications for use

The Calcium test system is intended for in vitro diagnostic use in the quantitative determination of the calcium concentration in human serum or plasma on T60 instruments. Calcium measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany.

For sCal Calibrator, Nortrol and Abtrol see intended use.

F. Substantial Equivalence

Bayer Corporation, model Bayer ADVIA 2400 Chemistry System.

Bayer Corporation item: Bayer ADVIA Calcium assay.

G. Substantial equivalence -similarities

Calcium is substantially equivalent to other devices legally marketed in United States. We claim equivalence to the Bayer ADVIA Calcium assay (K991576).

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

www.thermo.com

2

The following table compares the Calcium with the predicate device
Table 1

AttributeNew device #1Predicate device #1
Intended UseFor in vitro diagnostic use in the
quantitative determination of the
calcium concentration in human
serum or plasma on T60
instruments.For in vitro diagnostic use in
the quantitative determination
of calcium in human serum,
plasma (lithium heparin), and
urine on the ADVIA
Chemistry systems. Such
measurements are used in the
diagnosis and treatment of
parathyroid disease, a
variety of bone diseases,
chronic renal failure, and
tetany.
Indication for UseThe Calcium test system is
intended for quantitative in vitro
diagnostic measurement of
calcium concentration in human
serum or plasma. Calcium
measurements are used in the
diagnosis and treatment of
parathyroid disease, a variety of
bone diseases, chronic renal
disease and tetanySee intended use.
Assay ProtocolCalcium ions form a highly
coloured complex with Arsenazo
III at neutral pH. The amount of
the complex is measured at 660
nm.Calcium ions form a violet
complex with o -
cresolphthalein complexone in
an alkaline medium. The
reaction is measured at
545/658 nm.
Traceability/Standar
dizationThe value of Calcium has been
assigned by using NIST SRM
909b as a primary referenceThe ADVIA CA method is
traceable to a NIST atomic
absorption reference method,
which uses reference materials
from the National Institute of
Standards and
Technology (NIST), via
patient sample correlation.
Sample TypeSerum, plasma (Li-heparin)Serum, plasma (Li-heparin)
and urine
Reagent StorageReagents in unopened vials are
stable at 2...25°C until the
expiration date printed on the
label. Keep away from sunlight.For all systems, unopened
reagents are stable until the
expiration date printed on the
product label when stored at
15° - 25°C. Do not freeze
reagents.
Expected ValuesSerum/ plasmaSerum/Plasma:
8.6 - 10.3 mg/dl
(2.15 - 2.57 mmol/l)8.3 - 10.6 mg/dL
(2.08 - 2.65 mmol/L)
Urine:
100 - 300 mg/day
(2.50 - 7.50 mmol/day)
InstrumentT60 and DPC T60i, DPC T60i
KustiADVIA® 2400 Chemistry
system.
Measuring RangeSerum/ plasma
2.8 - 16.0 mg/dl
(0.70 - 4.00 mmol/l)Serum/ Plasma:
1.0 - 15.0 mg/dL
(0.25 - 3.75 mmol/L)
Urine:
1.0 - 30.0 mg/dL
(0.25 - 7.50 mmol/L)
PrecisionSerum:
Within run
Level 4.0 mg/ dL
SD= 0.04
CV(%)= 1.0
Level 8.4 mg/ dL
SD= 0.07
CV(%)=0.8
Level 11.9 mg/ dL
SD=0.08
CV(%)=0.7
Between run
Level 4.0 mg/ dL
SD= 0.02
CV(%)=0.6
Level 8.4 mg/ dL
SD= 0.03
CV(%)=0.4
Level 11.9 mg/ dL
SD= 0.08
CV(%)=0.7
Total
Level 4.0 mg/ dL
SD= 0.06
CV(%)= 1.6
Level 8.4 mg/ dL
SD=0.12
CV(%)= 1.5
Level 11.9 mg/ dL
SD= 0.18
CV(%)= 1.5Serum:
Within run
Level 6.2 mg/dL
SD= 0.06
CV(%)= 1.0
Level 8.5 mg/dL
SD=0.17
CV(%)= 2.0
Level 10.9 mg/dL
SD=0.18
CV(%)= 1.6
Total
Level 6.2 mg/dL
SD=0.12
CV(%)= 2.0
Level 8.5 mg/dL
SD= 0.21
CV(%)=2.4
Level 10.9 mg/dL
SD= 0.23
CV(%)= 2.1
Urine:
Within run
Level 5.8 mg/dL
SD= 0.10
CV(%)= 1.7
Level 12.7 mg/dL
SD= 0.08
CV(%)=0.6
Total
Level 5.8 mg/dL
SD=0.12
CV(%)= 2.1
Level 12.7 mg/dL
SD=0.64
CV(%)= 5.1
Method ComparisonSerum (Comparison to Bayer ADVIA 2400):Serum (comparison to ADVIA 1650):
y = $1.04 x - 0.002$
R = 0.994
range from 0.44 to 18.25 mg/dL
N = 112y = $1.01x +0.27$
R = 0.988
Range: 4.6 - 12.1 mg/dL
N = 242
Serum (comparison to reference method):
y = $1.00x - 0.56$
R = 0.996
Range: 2.5 - 13.9 mg/dL
N = 48
Urine (comparison to ADVIA 1650):
y = $0.98x + 0.23$
R = 0.999
Range: 1.0 - 15.0 mg/dL
N = 64
LimitationsLipemia:Lipemia (from Intralipid):
No interference found up to 1000
mg/dL (10 g/l) of Intralipid.No significant interference
found up to 625 mg/dl of
Intralipid.
Hemolysate:
No interference found up to 1000
mg/dl (10 g/l) of hemoglobinHemolysate:
No significant interference
found up to 525 mg/dl of
hemoglobin.
Bilirubin, conjugated:
No interference found up to 58
mg/dL (1000 µmol/l) of
conjugated bilirubin.Bilirubin:
Bilirubin, unconjugated:No significant interference
found up to 30 mg/dl.
No interference found up to 58
mg/dL (1000 µmol/l) of
unconjugated bilirubin.

3

4

Thermo Fisher Scientific Oy

Ratastic 2
P.O. Box 100
FIN-01621 Vantaa
Fini-01621 Vantaa
Finland

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

Y-tunnus 092 l 547-0
VAT No FI09215470
Domicile Helsinki

ww.themo.com

5

DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

FEB 2 8 2008

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Thermo Fisher Scientific Oy c/o Päivi Sormunen Vice President of Industrial Solutions & QRC Clinical Diagnostics Finland Ratastie 2, P.O. Box 100 Fin-01621 Vantaa Finland

Re: K073355 Trade Name: Calcium, sCal, Nortrol, Abtrol Regulation Number: 21 CFR 862.1145 Regulation Name: Calcium Test System Regulatory Class: Class II Product Codes: CJY, JIX, JJY Dated: January 24, 2008 Received: January 28, 2008

Dear Päivi 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).

6

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

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Indications for Use

510(k) Number (if known):

Device Name:

Calcium, sCal, Nortrol, Abtrol

The Calcium test system is intended for quantitative in vitro diagnostic measurement of calcium concentration in human serum or plasma. Calcium measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany

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

For in vitro diagnostic use for quantitative testing on T60 instrument. 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 Instruments using methods defined by Thermo Fisher Scientific Oy.

For in vitro diagnostic use for quantitative testing on T60 instrument. 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 Instruments using methods defined by Thermo Fisher Scientific Oy.

Prescription Use X (21 CFR Part 801 Subpart D) And/Or

Over the Counter Use (21 CFR Part 801 Subpart C)

(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)

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

510(k) K073355