K Number
K100727
Device Name
LIQUID ASSAYED MULTIQUAL 1, LIQUID ASSAYED MULTIQUAL 2, LIQUID ASSAYED MULTIQUAL 3, LIQUID ASSAYED MULTIQUAL MINIPAK
Date Cleared
2010-09-14

(183 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Liquid Assayed Multiqual is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert.
Device Description
Liquid Assayed Multiqual is prepared from human serum to which purified biochemical material (tissue extracts of human and animal origin), chemicals, drugs, preservatives, and stabilizers have been added.
More Information

Not Found

No
The summary describes a quality control serum for laboratory testing, with no mention of AI or ML technologies in the device description, intended use, or performance studies.

No
This device is a quality control serum used to monitor the precision of laboratory testing procedures, not to treat or diagnose patients.

No
The device is described as an "assayed quality control serum to monitor the precision of laboratory testing procedures," not to diagnose a patient's condition.

No

The device description explicitly states it is prepared from human serum and includes biochemical material, chemicals, drugs, preservatives, and stabilizers, indicating it is a physical substance, not software.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for "monitoring the precision of laboratory testing procedures for the analytes listed in this package insert." This is a classic function of an IVD, which is used to examine specimens derived from the human body to provide information for diagnostic purposes.
  • Device Description: The description mentions it's prepared from "human serum" and contains added biochemical materials, chemicals, drugs, preservatives, and stabilizers. This composition is consistent with a control material used in laboratory testing of human samples.
  • Intended User / Care Setting: The intended user is involved in "laboratory testing procedures," which is the environment where IVDs are used.
  • Predicate Device: The mention of a predicate device (K043208; Liquid Assayed Multiqual) strongly suggests that this device is being compared to a previously cleared IVD, further indicating its classification as an IVD.

While the document doesn't mention image processing, AI, or specific performance metrics like sensitivity or specificity (which are more relevant for diagnostic tests themselves, not necessarily controls), the core function and composition clearly align with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Liquid Assayed Multiqual is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert.

Product codes

JJY

Device Description

Liquid Assayed Multiqual is prepared from human serum to which purified biochemical material (tissue extracts of human and animal origin), chemicals, drugs, preservatives, and stabilizers have been added.

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

Stability studies have been performed to determine the open vial stability and shelf life for the Liquid Assayed Multiqual. Product claims are as follows:

  • Open vial 5 days at 2 to 8 degrees C
  • Thawed and Unopened: 30 days at 2 to 8 degrees C, with the following exceptions: Direct Bilirubin 11 days, Triglycerides, HDL, Cholinesterase, Phosphorus 7 days. Total Bilirubin and Direct Bilirubin values may decrease, Alkaline Phosphatase activity may rise.
  • Shelf Life Stability 3 Years at -20 degrees C to -50 degrees C

The assigned values were derived from replicate analyses and are specific for each lot of product. The tests listed were performed by the manufacturer and/or independent laboratories using manufacturer supported reagents and a representative sampling of the product lot. Assigned values are presented as means and plus minus 3SD ranges.

Key Metrics

Not Found

Predicate Device(s)

K043208

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1660 Quality control material (assayed and unassayed).

(a)
Identification. A quality control material (assayed and unassayed) for clinical chemistry is a device intended for medical purposes for use in a test system to estimate test precision and to detect systematic analytical deviations that may arise from reagent or analytical instrument variation. A quality control material (assayed and unassayed) may be used for proficiency testing in interlaboratory surveys. This generic type of device includes controls (assayed and unassayed) for blood gases, electrolytes, enzymes, multianalytes (all kinds), single (specified) analytes, or urinalysis controls.(b)
Classification. Class I (general controls). Except when intended for use in donor screening tests, quality control materials (assayed and unassayed) are 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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Summary of Safety and Effectiveness Liquid Assayed Multiqual

K100727

SEP 1 4 2010

1.0 Submitter

. .

Bio-Rad Laboratories 9500 Jeronimo Road, Irvine, California 92618-2017 (949) 598-1200 Telephone: (949) 598-1557 Fax:

Contact Person

Suzanne S. Parsons Regulatory Affairs Specialist (949) 598-1467 Telephone:

Date of Summary Preparation

September 10, 2010

2.0 Device Identification

Product Trade Name:Liquid Assayed Multiqual
Common Name:Multi-Analyte Controls, (Assayed and unassayed)
Classifications:Class I
Product Code:JJY
Regulation Number:21 CFR 862.1660

Device to Which Substantial Equivalence is Claimed 3.0

Liquid Assaved Multiqual Bio-Rad Laboratories Irvine, California

510 (k) Number: K043208

4.0 Description of Device

Liguid Assayed Multiqual is prepared from human serum to which purified biochemical material (tissue extracts of human and animal origin), chemicals, drugs, preservatives, and stabilizers have been added.

5.0 Intended Use

Liquid Assayed Multiqual is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert.

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6.0 Comparison of the new device with the Predicate Device

Liquid Assayed Multiqual claims substantial equivalence to the Liquid Assayed Multiqual currently in commercial distribution (K043208). Both of these controls are liquid human serum base with identical formulation. Table 1 (below) contains comparison information of similarities and differences between the new and predicate device to which substantial equivalence is claimed.

Characteristics
Bio-Rad Laboratories
Liquid Assayed Multiqual
(New Device)Bio-Rad Laboratories
Liquid Assayed Multiqual
(Predicate Device K043208)
Similarities
Intended UseLiquid Assayed Multiqual is intended for use as an assayed quality
control serum to monitor the precision of laboratory testing procedures for
the analytes listed in this package insert.Liquid Assayed Multiqual is intended for use as an assayed quality
control serum to monitor the precision of laboratory testing procedures for
the analytes listed in this package insert.
FormLiquidLiquid
MatrixHuman serum basedHuman serum based
Differences
Storage (Unopened)Until expiration date at -20°C to -50°CUntil expiration date at -20°C to -70°C
Thawed and
Unopened Claim-30 days at 2 to 8°C, with the following exceptions: Direct Bilirubin 11
days, Triglycerides, HDL, Cholinesterase, Phosphorus 7 days. Total
Bilirubin and Direct Bilirubin values may decrease, Alkaline Phosphatase
activity may rise.30 days at 2 to 8°C, with the following exceptions: Direct Bilirubin 11
days, Triglycerides, HDL, Phosphorus 7 days, Total Bilirubin and Direct
Bilirubin values may decrease, Alkaline Phosphatase activity may rise.
The control must be stored frozen when using AST methods without
pyridoxal-5-phosphate.
Thawed and Opened
Claim5 days at 2 to 8°C. Note: CO₂ values may gradually decrease on-board
the Siemens Dimension Vista, following product sampling into the aliquot
plate if allowed to stand for an extended time period.14 days at 2 to 8°C, with the following exception: Direct Bilirubin,
Triglycerides, HDL, Phosphorus will be stable for 7 days, LAP
Arylamidase will be stable for 3 days.
Frozen AliquotNoneAST/SGOT, Direct Bilirubin, HDL, Phosphorus, LDL, Triglycerides, LAP
Arylamidase: 14 days in amber vials at -20 to -70°C
Fill Volume2.5 mL3 mL
AnalytesContains:Contains:
Acetaminophen
Alpha-1-Antitripsin
Apolipoprotein A-1
Apolipoprotein B
Albumin
Alkaline Phosphatase (ALP)
ALT/SGPT
Amylase
AST/SGOT
Bilirubin, Direct
Bilirubin, Total
C3 Complement
C4 Complement
Ceruloplasmin
Calcium, Total
Carbamazepine
Carbon Dioxide (CO2)
Chloride
HDL
LDL
Cholesterol, Total
Pseudocholinesterase
Creatinine
Creatine Kinase (CK)
Digoxin
Ethanol
Ferritin
GGT
Gentamicin
Glucose
HaptoglobinIron
Immunoglobulin A (IgA)
Immunoglobulin G (IgG)
Immunoglobulin M (IgM)
TIBC
Lactate (Lactic Acid)
LDH
Lipase
Lithium
Magnesium
Phenobarbital
Phenytoin
Phosphorus
Potassium
Prealbumin
Protein, Total
Salicylate
Sodium
T3 Total
T3 Uptake/T-Uptake
T4 Total
T4 Free
Theophylline
TSH
Tobramycin
Transferrin
Triglycerides
Uric Acid
Valproic Acid
Vitamin B12Acetaminophen
Alpha-1-Antitripsin
αHBDH
Apolipoprotein A-1
Apolipoprotein B
Alkaline Phosphatase (ALP)
ALT/SGPT
Amikacin
Amylase
Amylase, Pancreatic
AST/SGOT
Acid Phosphatase
Albumin
Bilirubin, Direct
Bilirubin, Neonatal
Bilirubin, Total
C3 Complement
C4 Complement
Ceruloplasmin
Cholinesterase
Calcium, Ionized
Copper
Calcium, Total
Carbamazepine
Carbon Dioxide (CO2)
Chloride
HDL
LDL
Cholesterol, Total
CK-MB Isoenzyme
Cortisol
Creatinine
Creatine Kinase (CK)
Ferritin
Ethanol
Digoxin
GGT
Gentamicin
Globulin
Glucose
HaptoglobinIron
Immunoglobulin A (IgA)
Immunoglobulin G (IgG)
Immunoglobulin M (IgM)
TIBC
UIBC
Lactate (Lactic Acid)
LDH
LAP Arylamidase
Lipase
Lithium
Magnesium
Osmolality
Phenobarbital
Phenytoin
Phospholipids
Phosphorus
Potassium
Prealbumin
PAP
Protein Electrophoresis
Protein, Total
Salicylate
Sodium
T3 Free
T3 Total
T3 Uptake/T-Uptake
T4 Total
T4 Free
Theophylline
TSH
Tobramycin
Transferrin
Triglycerides
Urea
Urea Nitrogen (BUN)
Uric Acid
Valproic Acid
Vitamin B12
Zinc
Does Not Contain:
αHBDH
Amikacin
Amylase, Pancreatic
Acid Phosphatase
Bilirubin, Neonatal
Calcium, Ionized
Copper
CK-MB Isoenzyme
CortisolGlobulin
UIBC
LAP Arylamidase
Osmolality
Phospholipids
PAP
Protein Electrophoresis
Urea
Zinc

Table 1. Similarities and Differences between new and predicate device.

.

2

7.0 Statement of Supporting Data

Stability studies have been performed to determine the open vial stability and shelf life for the Liquid Assayed Multiqual. Product claims are as follows:

7.1Open vial 5 days at 2 to 8°C
7.2Thawed and Unopened: 30 days at 2 to 8°C, with the following exceptions: Direct Bilirubin 11 days, Triglycerides, HDL, Cholinesterase, Phosphorus 7 days. Total Bilirubin and Direct Bilirubin values may decrease, Alkaline Phosphatase activity may rise.
7.3Shelf Life Stability 3 Years at -20°C to -50°C
  • 7.4 Assignment of Values The assigned values were derived from replicate analyses and are specific for each lot of product. The tests listed were performed by the manufacturer and/or independent laboratories using manufacturer supported reagents and a representative sampling of the product lot. Assigned values are presented as means and ±3SD ranges.

8.0 Conclusion

Liquid Assayed Multiqual (new device) is intended to be used for the same purposes as the predicate device, it has the same human serum matrix and performs similarly as the predicate device.

All supporting data is retained on file at Bio-Rad Laboratories.

3

Image /page/3/Picture/0 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is a stylized caduceus, a symbol of medicine and health. The caduceus consists of a staff with two snakes coiled around it and a pair of wings at the top.

BEBARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 0903 New Hampshire Avenue Document Mail Center - WO66-0609 Silver Spring, MD 20993-0002

Bio-Rad Diagnostics Group c/o Suzanne Parsons Regulatory Affairs/QA/QC Manager 9500 Jeronimo Road Irvine, CA 92618-2017, USA

SEP 1 4 2010

Re: K100727 Liquid Assayed Multiqual Trade/Device Name: Regulation Number: 21 CFR 862.1660 Regulation Name: Quality Control Material (Assayed and Unassayed) Regulatory Class: Class I, reserved Product Code: JJY Dated: August 27, 2010 Received: September 3, 2010

Dear Ms. Parsons

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave leviewed your Doctor Doctor Droppy of device is substantially equivalent (for the indications for relerenced above and have dolorinined marketed predicate devices marketed in interstate commerce use stated in the encround to regary thate of the Medical Device Amendments, or to devices that provide in May 20, 1976, the chaemism and the Rederal Food, Drug, and Cosmotic have been tectassified in accordance with a premarket approval application (PMA). You may, ACL (ACC) inal do not require approval or a presental controls provisions of the Act. The general therefore, market the device, subject to the genirements for annual registration, listing of devices, good Controls provisions of the beling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), in If your device is classified (see above) into emaint regulations affecting your device can be may be subject to such additional controlls. Existing in as a sep. 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 Please be advised that FDA 's issualice of a substance or a substances with other requirement of the Act or
that FDA has made a determination that your device complies with o that FDA has made a decemination mar your correst correst agencies. You must comply
any Federal statutes and regulations administered by other and lights (21 CFP P any Federal Statutes and regulations administered by other to: registration and listing (2) CFR Pat
with all the Act's requirements, including, but not limited to: requiremen with all the Act STEquilements, melaams, our manufacturing practice requirements as set
807); labeling (21 CFR Parts 801 and 809); and good manufacturing practice requirement forth in the quality systems (QS) regulation (21 CFR Part 820).

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to begin markemig your over and the same of your device to a legally premarket notification. The FDA midnig of succianted vice and thus, permits your device to proceed to the market.

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If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportalProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

G.C.

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

Enclosure

5

Indications for Use Form

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name:__________________________________________________________________________________________________________________________________________________________________

Indications for Use: Liquid Assayed Multiqual is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes list precision in this package insert.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (21 CFR 801 Subpart C)

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

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

Division Sign Off

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

510(k) K100727

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