K Number
K090939
Device Name
ROCHE C.F.A.S. DAT QUALITATIVE PLUS CLINICAL CALIBRATOR AND CONTROL SET DAT CLINICAL, MODELS 04590856 190, 04500873 190
Manufacturer
Date Cleared
2009-06-18

(76 days)

Product Code
Regulation Number
862.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The C.f.a.s. DAT Qualitative Plus Clinical calibrator is designed for the qualitative calibration of the Roche assays for drugs of abuse in human urine on automated clinical chemistry analyzers. The Control Set DAT Clinical is for use as an assayed control in the Roche test system for qualitative and semiquantitative determination of drugs of abuse in human urine on automated clinical chemistry analyzers.
Device Description
C.f.a.s. DAT Qualitative Plus Clinical calibrators contain a mixture of 10 different drugs, prepared by quantitative addition of drug or drug metabolite to drug-free human urine. Drugs included are amphetamines, barbituates, benzodiazepines, cannabinoids, cocaine, methadone, methaqualone, opiates, phencyclidine, and propoxyphene. The calibrator set contains a single level for each drug in a drug mixture. Drug concentrations are verified by gas chromatography/mass spectrometry (GC/MS). Control Set DAT Clinical controls contain a mixture of 10 different drugs, prepared by quantitative addition of drug or drug metabolite to drug-free human urine. Drugs included are amphetamines, barbituates, benzodiazepines, cannabinoids, cocaine, methadone, methaqualone, opiates, phencyclidine, and propoxyphene. Drug concentrations are verified by gas chromatography/mass spectrometry (GC/MS). Target concentrations are established at ±25% of the assay cutoff.
More Information

No
The device description focuses on the chemical composition and preparation of calibrators and controls for drug testing, with no mention of AI or ML algorithms for data analysis or interpretation.

No.
This device is a calibrator and control for drug of abuse assays, used to verify the accuracy of diagnostic tests, not to treat a condition.

No

The device is a calibrator and control for drug abuse assays, not a diagnostic device itself. Its purpose is to ensure the accuracy of other diagnostic tests by providing known drug concentrations.

No

The device description clearly indicates the device is a physical substance (calibrators and controls) containing drug mixtures in human urine, not software.

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

Here's why:

  • Intended Use: The intended use explicitly states that the calibrator and control set are designed for the "qualitative calibration" and "assayed control" of Roche assays for drugs of abuse in human urine. This indicates that the device is used to perform tests on biological samples (human urine) to obtain information about a person's health status (presence of drugs of abuse).
  • Device Description: The description details the composition of the calibrators and controls, which are mixtures of drugs prepared in drug-free human urine. This further confirms that the device is intended for use with human biological specimens.
  • Function: The device functions as a calibrator and control for assays that determine the presence of drugs of abuse. Calibrators and controls are essential components of in vitro diagnostic test systems, used to ensure the accuracy and reliability of the test results.

The definition of an IVD generally includes reagents, instruments, and systems intended for use in the diagnosis of disease or other conditions, including a determination of the state of health, in order to cure, mitigate, treat, or prevent disease or its sequelae. While detecting drugs of abuse isn't strictly a "diagnosis of disease," it falls under the broader scope of determining the "state of health" and can be used in various clinical and forensic settings.

Therefore, based on the provided information, this device clearly fits the description of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The C.f.a.s. DAT Qualitative Plus Clinical calibrator is designed for the qualitative calibration of the Roche assays for drugs of abuse in human urine on automated clinical chemistry analyzers.

The Control Set DAT Clinical is for use as an assayed control in the Roche test system for qualitative and semiquantitative determination of drugs of abuse in human urine on automated clinical chemistry analyzers.

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

DKB, DIF

Device Description

C.f.a.s. DAT Qualitative Plus Clinical calibrators contain a mixture of 10 different drugs, prepared by quantitative addition of drug or drug metabolite to drug-free human urine. Drugs included are amphetamines, barbituates, benzodiazepines, cannabinoids, cocaine, methadone, methaqualone, opiates, phencyclidine, and propoxyphene. The calibrator set contains a single level for each drug in a drug mixture. Drug concentrations are verified by gas chromatography/mass spectrometry (GC/MS). Drugs or drug metabolites and their respective levels included are as follows:

Amphetamines: 500 ng/mL Barbituates: 200 ng/mL Benzodiazepines: 100 ng/mL Cannabinoids: 50 ng/mL Cocaine: 300 ng/mL Methadone: 300 ng/mL Methaqualone: 300 ng/mL Opiates: 300 ng/mL Phencyclidine: 25 ng/mL Propoxyphene: 300 ng/mL

Control Set DAT Clinical controls contain a mixture of 10 different drugs, prepared by quantitative addition of drug or drug metabolite to drug-free human urine. Drugs included are amphetamines, barbituates, benzodiazepines, cannabinoids, cocaine, methadone, methaqualone, opiates, phencyclidine, and propoxyphene. Drug concentrations are verified by gas chromatography/mass spectrometry (GC/MS). Target concentrations are established at ±25% of the assay cutoff.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

human urine

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.

K031775, K033306

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.

K080183

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.

0

JUN 1 8 2009

510(k) Summary: C.f.a.s. DAT Qualitative Plus Clinical and Control Set DAT Clinical

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

Submitter Roche Diagnostics Name, Address, 9115 Hague Rd. Contact Indianapolis, IN 46250 317-521-3742

Contact Person: Michelle Neff

Date Prepared: April 2, 2009

Proprietary and Established Names

Proprietary names: C.f.a.s. DAT Qualitative Plus Clinical Control Set DAT Clinical

Regulatory Information C.f.a.s. DAT Qualitative Plus Clinical

Product CodeClassificationRegulation SectionPanel
DKBClass II862.3200Toxicology
(91)

Control Set DAT Clinical

Product CodeClassificationRegulation SectionPanel
DIFClass I862.3280Toxicology
(91)

1

Predicate Devices

C.f.a.s. DAT Qualitative Plus Clinical

We claim substantial equivalence to the currently marketed Roche calibrators :

  • Preciset DAT Plus I Calibrators (K031775) .
  • Preciset DAT Plus II and Cfas DAT Qualitative Plus . Calibrators (K033306)

Control Set DAT Clinical

We claim substantial equivalence to the currently marketed Roche controls :

  • Control Set DAT I, Control Set DAT II, Control Set DAT III, . (K080183)
    . . . . .

2

Device Description C.f.a.s. DAT Qualitative Plus Clinical calibrators contain a mixture of 10 different drugs, prepared by quantitative addition of drug or drug metabolite to drug-free human urine. Drugs included are amphetamines, barbituates, benzodiazepines, cannabinoids, cocaine, methadone, methaqualone, opiates, phencyclidine, and propoxyphene. The calibrator set contains a single level for each drug in a drug mixture. Drug concentrations are verified by gas chromatography/mass spectrometry (GC/MS). Drugs or drug metabolites and their respective levels included are as follows:

Amphetamines: 500 ng/mL Barbituates: 200 ng/mL Benzodiazepines: 100 ng/mL Cannabinoids: 50 ng/mL Cocaine: 300 ng/mL Methadone: 300 ng/mL Methaqualone: 300 ng/mL Opiates: 300 ng/mL Phencyclidine: 25 ng/mL Propoxyphene: 300 ng/mL

Control Set DAT Clinical controls contain a mixture of 10 different drugs, prepared by quantitative addition of drug or drug metabolite to drug-free human urine. Drugs included are amphetamines, barbituates, benzodiazepines, cannabinoids, cocaine, methadone, methaqualone, opiates, phencyclidine, and propoxyphene. Drug concentrations are verified by gas chromatography/mass spectrometry (GC/MS). Target concentrations are established at ±25% of the assay cutoff.

DrugAssay Cutoff (ng/mL)Target Concentration (ng/mL)
PreciNegPreciPos
Amphetamines500375625
Barbituates200150250
Benzodiazepines10075125
Cannabinoids5037.562.5
Cocaine300225375
Methadone300225375
Methaqualone300225375
Opiates300225375
Phencyclidine2518.831.3
Propoxyphene300225375

3

| Intended Use | The C.f.a.s. DAT Qualitative Plus Clinical calibrator is designed for
the qualitative calibration of the Roche assays for drugs of abuse in
human urine on automated clinical chemistry analyzers. |
|--------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | The Control Set DAT Clinical is for use as an assayed control in the
Roche test system for qualitative and semiquantitative determination
of drugs of abuse in human urine on automated clinical chemistry
analyzers. |

Predicate Device

:


Comparison to the The recommended controls to be used with the proposed ONLINE Amphetamines II assay are the Control Set DAT I, Control Set DAT II, Control Set DAT III (K080183).

4

New DevicePredicate Device
ItemC.f.a.s. DAT
Qualitative Plus
ClinicalPreciset DAT
Plus I
CalibratorsPreciset DAT
Plus IICfas DAT
Qualitative Plus
Calibrators
Intended
UseSameDesigned for the
calibration of the
Roche assays for
drugs of abuse
in human urine
on automated
clinical
chemistry
analyzers.Designed for the
calibration of the
Roche assays for
drugs of abuse in
human urine on
automated
clinical
chemistry
analyzers.Designed for the
calibration of the
Roche assays for
drugs of abuse
in human urine
on automated
clinical
chemistry
analyzers.
AnalytesAmphetamines
Barbituates
Benzodiazepines
Cannabinoids
Cocaine
Methadone
Methaqualone
Opiates
Phencyclidine
PropoxypheneAmphetamines
Barbituates
Benzodiazepines
Cannabinoids
Cocaine
Methadone
Opiates
Phencyclidine
PropoxypheneBenzodiazepines
OpiatesBarbituates
Benzodiazepines
Cocaine
Methadone
Opiates
Phencyclidine
Propoxyphene
FormSameLiquidLiquidLiquid
TraceabilitySameGC/MSGC/MSGC/MS
MatrixSameHuman urine
basedHuman urine
basedHuman urine
based
Number of
Levels1Up to 6Up to 61
New DevicePredicate Device
ItemControl Set DAT ClinicalControl Set DAT I, Control Set DAT II, Control Set DAT III
Intended UseSameFor use as an assayed control in
the Roche test system for the
qualitative and semiquantitative
determination of drugs of abuse in
human urine on automated clinical
chemistry analyzers.
AnalytesSameAmphetamines (d-
methamphetamine)
Barbituates (secobarbital)
Benzodiazepines (nordiazepam)
Cannabinoids (Δ9 THC-COOH)
Cocaine (benzoylecgonine)

·

·

5

| | | Methadone (dl-methadone)
Methaqualone (methaqualone)
Opiates (d-morphine)
PCP (phencyclidine)
Propoxyphene (propoxyphene) |
|------------------|------|---------------------------------------------------------------------------------------------------------------------------------------|
| Form | Same | Liquid |
| Traceability | Same | GC/MS |
| Matrix | Same | Human urine based |
| Number of Levels | 1 | 2 |

:

:

· .

.

:

6

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three bars representing the department's mission. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JUN 18 2009

Roche Diagnostics ATTN: Ms. Michelle L. Neff 9115 Hague Road Indianapolis, IN 46250

Re: K090939

Trade/Device Name: Roche C.F.A.S. DAT Qualitative Plus Clinical calibrator and Control Set DAT Clinical Regulation Number: 21 CFR §862.3280 Regulation Name: Clinical toxicology control material. Regulatory Class: Class II Product Code: DKB, DIF Dated: April 2, 2009 Received: April 3, 2009

Dear Ms. Neff:

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); medical device reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

7

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 advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (240) 276-0450. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrh/mdr/.

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 http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

A.C.H.

Courtney C. Harper, Ph.D. Acting Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

8

Indication for Use

510(k) Number (if known);

K090939

Device Name: C.f.a.s. DAT Qualitative Plus Clinical & Control Set DAT Clinical

Indication For Use:

The C.f.a.s. DAT Qualitative Plus Clinical calibrator is designed for the qualitative calibration of the Roche assays for drugs of abuse in human urine on automated clinical chemistry analyzers.

The Control Set DAT Clinical is for use as an assayed control in the Roche test system for qualitative and semiquantitative determination of drugs of abuse in human urine on automated clinical chemistry analyzers.

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)

signature

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

510(k) K090934