K Number
K103683
Device Name
IMMULITE/IMMULITE 1000 PROGESTERONE CALIBRATION VERIFICATION (CVM)
Date Cleared
2011-04-28

(132 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For in vitro diagnostic use, for the calibration verification of the IMMULITE®/IMMULITE 1000 Progesterone assay (LKPW).
Device Description
One set of four vials, 2 mL each, containing low, intermediate and high levels of progesterone in processed human serum, with preservative, and a progesterone-free sample. The Calibration Verifiers are supplied in liquid form, ready to use. Store unopened materials refrigerated at 2-8°C until expiration date. Stable at 2-8°C for 30 days after opening.
More Information

Not Found

No
The device description and performance studies focus on the chemical composition and stability of calibration materials, with no mention of AI or ML.

No
This device is for in vitro diagnostic use, specifically for calibration verification of an assay, not for treating a condition.

No
This device is for in vitro diagnostic use, specifically for the calibration verification of an assay, not for directly diagnosing a condition in a patient. It is a control material used to ensure the accuracy of a diagnostic test.

No

The device description clearly states it is a set of four vials containing liquid materials (processed human serum with progesterone), which are physical components, not software.

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

The "Intended Use / Indications for Use" section explicitly states: "For in vitro diagnostic use..." This is the primary indicator that the device is intended for use outside of the body to examine specimens from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or condition.

Furthermore, the device is used for the "calibration verification of the IMMULITE®/IMMULITE 1000 Progesterone assay," which is a laboratory test performed on biological samples. This function is consistent with the definition of an IVD.

N/A

Intended Use / Indications for Use

For in vitro diagnostic use, for the calibration verification of the IMMULITE®/IMMULITE 1000 Progesterone assay (LKPW).

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

JJX

Device Description

IMMULITE/IMMULITE 1000 Progesterone assay is traceable to an internal standard manufactured using qualified materials and measurement procedures. Calibration Verification Material (CVM) is traceable to this standard. One set of four vials, 2 mL each, containing low, intermediate and high levels of progesterone in processed human serum, with preservative, and a progesterone-free sample. The Calibration Verifiers are supplied in liquid form, ready to use. Store unopened materials refrigerated at 2-8°C until expiration date. Stable at 2-8°C for 30 days after opening.

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)

The traceability, value assignment, and stability of the IMMULITE/IMMULITE 1000 Progesterone calibration Verification Material (CVM) has been validated following procedures of Siemens Healthcare Diagnostics. These Progesterone CVMs are substantially equivalent to currently marketed devices with similar intended uses.

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.

K102904

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

§ 862.1660 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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APR 2 8 2011

510(k) Summary

Submitter information Contact person: Garo Mimaryan, Regulatory Technical Specialist

Address: Siemens Healthcare Diagnostics, Inc 511 Benedict Avenue Tarrytown, NY 10591

Phone: 914-524-3270 914-524-2601 Fax:

، ﻭﻳﺘﻢ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪ

Date summary prepared: December 17, 2010

Device Trade or Proprietary Name: IMMULITE®/IMMULITE® 1000 Progesterone Calibration Verification Material (CVM)

Device Common/Usual Name or Classification Name: Single (Specified) Analyte Controls (Assayed And Unassayed)

Classification Number/Class: JJX / Class I

Classification Panel: Clinical Chemistry (75)

This 510(k) summary of safety and effectiveness is being submitted in accordance with the requirements of 21 CFR 807.92.

The assigned 510(k) number is: _______________________________________________________________________________________________________________________________________________

Predicate Devices:

| Device Name | ADVIA Centaur® Enhanced Estradiol (eE2)
Master Curve Material (MCM) |
|---------------|------------------------------------------------------------------------|
| Common name | ADVIA Centaur® Enhanced Estradiol (eE2)
Master Curve Material (MCM) |
| 510(k) Number | K102904 |
| Manufacturer | Siemens Healthcare Diagnostics |

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Device Description:

IMMULITE/IMMULITE 1000 Progesterone assay is traceable to an internal standard manufactured using qualified materials and measurement procedures. Calibration Verification Material (CVM) is traceable to this standard. One set of four vials, 2 mL each, containing low, intermediate and high levels of progesterone in processed human serum, with preservative, and a progesterone-free sample. The Calibration Verifiers are supplied in liquid form, ready to use. Store unopened materials refrigerated at 2-8°C until expiration date. Stable at 2-8°C for 30 days after opening.

Warnings and Precautions:

For in vitro diagnostic use.

Follow universal precautions, and handle all components as if capable of transmitting infectious agents. Source materials derived from human blood were tested and found nonreactive for syphilis; for antibodies to HIV 1 and 2; for hepatitis B surface antigen; and for antibodies to hepatitis C.

Sodium azide, at concentrations less than 0.1 g/dL, has been added as a preservative. On disposal, flush with large volumes of water to prevent the buildup of potentially explosive metal azides in lead and copper plumbing.

Statement of Intended Use:

For in vitro diagnostic use, for the calibration of the IMMULITE/IMMULITE 1000 Progesterone assay (LKPW).

Performance:

The traceability, value assignment, and stability of the IMMULITE/IMMULITE 1000 Progesterone calibration Verification Material (CVM) has been validated following procedures of Siemens Healthcare Diagnostics. These Progesterone CVMs are substantially equivalent to currently marketed devices with similar intended uses.

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Comparison to the Predicate Device:

  • «

Similarities and Differences between the devices and the predicate are shown below:

DevicePredicate
ItemIMMULITE/IMMULITE 1000
Progesterone CVMADVIA Centaur eE2 Master
Curve Material
Intended UseFor in vitro diagnostic use,
for the calibration verification
of the IMMULITE/IMMULITE
1000 Progesterone assay
(LKPW).The ADVIA Centaur
Enhanced Estradiol Master
Curve Material is for in vitro
diagnostic use in the
verification of calibration and
reportable range in the
ADVIA Centaur® Enhanced
Estradiol (eE2) assay.
MatrixHuman SerumSame
Storage2°C to 8°CSame
StabilityUnopened – until expiration
date on the vial labelSame

Similarities

Differences

ItemDevicePredicate
IMMULITE/IMMULITE 1000
Progesterone CVMADVIA Centaur eE2 Master
Curve Material
FormLiquidLyophilized
AnalytesProgesteroneEstradiol
StabilityOpened - 30 daysOpened - 14 days

Conclusions:

The IMMULITE/IMMULITE 1000 Calibration verification Material is substantially equivalent to other products in commercial distribution intended for similar use. Most notably, it is substantially equivalent to the currently marketed ADVIA Centaur eE2 Master Curve Material in intended use and matrix.

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Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the seal is a stylized graphic of a caduceus, a symbol often associated with healthcare and medicine. The caduceus is depicted with a staff entwined by two snakes and topped with wings.

Food and Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993

Siemens Healthcare Diagnostics c/o Ernest Joseph 511 Benedict Avenue Tarrytown, NY 10591 USA

APR 2 8 2011

Re: K103683 Trade Name: IMMULITE®/IMMULITE 1000 Progesterone Calibration . Verification Material (CVM) Regulation Number: 21 CFR 862.1660 Regulation Name: Quality Control Material (Assayed and Unassayed) Regulatory Class: Class I. Reserved Product Codes: JJX Dated: April 15, 2011 Received: April 18, 2011

Dear Mr. Joseph:

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 (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).

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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/ReportaProblem/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.

C.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

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Indication for Use

510(k) Number (if known): K103683

Device Name: the IMMULITE®/IMMULITE 1000 Progesterone Calibration verification Material.

Indication for Use:

For in vitro diagnostic use, for the calibration verification of the IMMULITE®/IMMULITE 1000 Progesterone assay (LKPW).

Prescription Use_X__ And/Or Over the Counter Use _________________________________________________________________________________________________________________________________________________________ ・(21 CFR Part 801 Subpart C) (21 CFR Part 801 Subpart D) .

(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) K103683

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