K Number
K110738
Device Name
THERMO SCIENTIFIC MAS OMNI-CORE
Date Cleared
2011-11-03

(231 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Thermo Scientific MAS® Omni•CORE™ is intended for use as an assayed control for monitoring assay conditions in many clinical laboratory determinations. Include MAS® Omni•CORE with patient serum specimens when assaying for any of the constituents. Assay values are provided for the specific systems listed. The user can compare observations with their expected ranges as a means of assuring consistent performance of reagent and instrument.
Device Description
Omni•CORE is a liquid stable control material prepared from human serum. Analyte levels are adjusted with various animal extracts and non-protein materials including drugs, drug metabolites and purified chemicals. Amylase, ALT/GPT, CK and Lipase are obtained from porcine tissue; alkaline phosphatase and GGT are from bovine tissue; LDH is from avian tissue. Preservatives and stabilizers are added to maintain product integrity.
More Information

No
The document describes a quality control material for laboratory assays and does not mention any AI or ML components.

No
The device is described as an assayed control for monitoring assay conditions in clinical laboratory determinations, not for treating any medical condition.

No

Explanation: The device is described as an "assayed control for monitoring assay conditions" and is used to "assure consistent performance of reagent and instrument." It is not used to diagnose a patient's medical condition.

No

The device description clearly states it is a "liquid stable control material prepared from human serum," indicating it is a physical substance, not software.

Yes, based on the provided information, the Thermo Scientific MAS® Omni•CORE™ device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states it's for "monitoring assay conditions in many clinical laboratory determinations" and to be included "with patient serum specimens when assaying for any of the constituents." This indicates it's used in vitro (outside the body) to assess the performance of diagnostic tests.
  • Device Description: The description details its composition as a "liquid stable control material prepared from human serum" with added analytes and preservatives. This is consistent with the nature of IVD control materials.
  • Predicate Devices: The listed predicate devices (MAS® Chem-TRAK H and MAS® Immunology Controls) are also IVD control materials, further supporting the classification of Omni•CORE as an IVD.

Control materials like Omni•CORE are essential components of the IVD process, used to ensure the accuracy and reliability of diagnostic tests performed on patient samples.

N/A

Intended Use / Indications for Use

Thermo Scientific MAS® Omni•CORE™ is intended for use as an assayed control for monitoring assay conditions in many clinical laboratory determinations. Include MAS® Omni•CORE with patient serum specimens when assaying for any of the constituents. Assay values are provided for the specific systems listed. The user can compare observations with their expected ranges as a means of assuring consistent performance of reagent and instrument.

Product codes

JJY

Device Description

Omni•CORE is a liquid stable control material prepared from human serum. Analyte levels are adjusted with various animal extracts and non-protein materials including drugs, drug metabolites and purified chemicals. Amylase, ALT/GPT, CK and Lipase are obtained from porcine tissue; alkaline phosphatase and GGT are from bovine tissue; LDH is from avian tissue. Preservatives and stabilizers are added to maintain product integrity.

The control is offered in three levels with the following configuration:

MAS® Omni-CORE
Catalog NumberDescriptionSize
OCORE-101Level 16 vials of Level 1, 5 mLs per vial
OCORE-202Level 26 vials of Level 2, 5 mLs per vial
OCORE-303Level 36 vials of Level 3, 5 mLs per vial
OCORE-SPSample-pack1 vial of Level 1, 5 mLs per vial
1 vial of Level 2, 5 mLs per vial
1 vial of Level 3, 5 mLs per vial

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

Clinical laboratory

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)

K092051, K960824

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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510K SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of Safe Medical Devices Act of 1990 and 21 CFR 807.92

The assigned 510(k) number is: K110738

Company/Contact person

Lisa Charter Manager, Regulatory Affairs Microgenics Corporation Thermo Fisher Scientific, Clinical Diagnostics Division 46360 Fremont Blvd. Fremont, CA 94538 (510) 979-5142 Office (510) 979-5422 Fax Lisa. Charter@thermofisher.com

Date Prepared

October 31, 2011

Regulatory Declarations

Common / Usual NameMAS® Omni•CORE
Trade/ Proprietary NameThermo Scientific MAS® Omni•CORE
Classification Regulation21 CFR 862.1660 – Quality control material (assayed and unassayed)
Device ClassClass I
Device Regulation PanelClinical Chemistry
Product CodeJJY

Intended use

Thermo Scientific MAS® Omni•CORE™ is intended for use as an assayed control for monitoring assay conditions in many clinical laboratory determinations. Include MAS® Omni•CORE with patient serum specimens when assaying for any of the constituents. Assay values are provided for the specific systems listed. The user can compare observations with their expected ranges as a means of assuring consistent performance of reagent and instrument.

Legally marketed device to which equivalency is claimed

MAS® Omni•CORE is substantially equivalent to the previously cleared MAS® Chem-TRAK H (K092051) and MAS® Immunology (K960824) Controls.

Fremont, CA
94538-6406

1

Description of Device

Omni•CORE is a liquid stable control material prepared from human serum. Analyte levels are adjusted with various animal extracts and non-protein materials including drugs, drug metabolites and purified chemicals. Amylase, ALT/GPT, CK and Lipase are obtained from porcine tissue; alkaline phosphatase and GGT are from bovine tissue; LDH is from avian tissue. Preservatives and stabilizers are added to maintain product integrity.

The control is offered in three levels with the following configuration:

MAS® Omni-CORE
Catalog NumberDescriptionSize
OCORE-101Level 16 vials of Level 1, 5 mLs per vial
OCORE-202Level 26 vials of Level 2, 5 mLs per vial
OCORE-303Level 36 vials of Level 3, 5 mLs per vial
OCORE-SPSample-pack1 vial of Level 1, 5 mLs per vial
1 vial of Level 2, 5 mLs per vial
1 vial of Level 3, 5 mLs per vial

2

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Comparison of Technological Characteristic

ComparisonSubject DevicePredicate 1Predicate 2
DeviceMAS® Omni-COREMAS® ChemTRAK HMAS® Immunology Control
510(k) numberK110738K092051K960824
Intended UseThermo Scientific MAS® Omni-CORETM is
intended for use as an assayed control for
monitoring assay conditions in many clinical
laboratory determinations. Include MAS®
Omni-CORE with patient serum specimens
when assaying for any of the constituents.
Assay values are provided for the specific
systems listed. The user can compare
observations with their expected ranges as a
means of assuring consistent performance of
reagent and instrument.chemTRAK® H is intended for use as a
consistent test sample of known concentration
for monitoring assay conditions in many clinical
laboratory determinations. Include chemTRAK®
H with patient serum specimens when assaying
for any of the listed constituents. The user can
compare observations with expected ranges as
a means of assuring consistent performance of
reagent and instrument.

Moni-Trol® H is intended for use as a consistent
test sample of known concentration for
monitoring assay conditions in many clinical
laboratory determinations. Include Moni-Trol® H
with patient serum specimens when assaying
for any of the listed constituents. The user can
compare observations with expected ranges as
a means of assuring consistent performance of
reagent and instrument. | Immunology Control is intended for use in
the clinical laboratory as a consistent test
sample of known concentration for-
monitoring assay conditions in many
immunological determinations. Include
Immunology control with patient serum
specimens when assaying for any of the
listed constituents. The user can compare
observations with expected ranges as a
means of assuring consistent performance of
reagent and instrument. |
| Matrix | Human Serum | Human Serum | Human Serum |
| Form | Frozen Liquid | Frozen Liquid | Liquid |
| Control Levels | Level 1
Level 2
Level 3 | Level 1
Level 2
Level 3 | Level 1
Level 2
Level 3 |
| Storage | -20°C | -20°C | 2-8°C |
| Shelf Life | 3 years | 2.5 year | 2 years |
| Analytes by
Configuration | Acetaminophen
Albumin
ALK Phos. (Alkaline Phosphatase)
alpha-1-Acid Glycoprotein
alpha-1-Antitrypsin
alpha-2-Macroglobulin
ALT | Acetaminophen
Acid Phosphatase*
Albumin
Alkaline Phosphatase, ALP
Alanine Aminotransferase, ALT
Alpha-Fetoprotein, AFP*
Amikacin | Albumin
alpha-1-Acid Glycoprotein
alpha-1-Antitrypsin
alpha-2-Macroglobulin
Antistreptolysin
Antithrombin III
Apolipoprotein A |

ww.thermofisher.com
www.microgenics.com 510-979-5000
510-979-5002 fax

46360 Fremont Blvd

Fremont, CA
94538-6406

Diagnostics Division
Microgenics Products

4

3

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AmikacinAmylaseApolipoprotein B
AmylaseApolipoprotein A (APO A)Beta 2 Microglobulin
Antistreptolysin O (ASO)Apolipoprotein B (APO B)C3 Complement
Apolipoprotein A1Aspartate Aminotransferase, ASTC4 Complement
Apolipoprotein BBilirubin, DirectCeruloplasmin
ASTBilirubin, TotalC-Reactive Protein
Beta 2 MicroglobulinBlood Urea Nitrogen, BUNHaptoglobin
Bile AcidsC3 Complement*Immunoglobulin A
Bilirubin, Direct (DBIL)C4 Complement*Immunoglobulin E
Bilirubin, Total (BILT)CaffeineImmunoglobulin G
BUNCalciumImmunoglobulin M
C3 ComplementCarbamazepineKappa Light Chain
C4 ComplementChlorideLamda Light Cha
CaffeineCholesterolPrealbumin
CalciumCreatine Kinase, CKProperidin Factor B
CarbamazepineCO2Rheumatoid Factor
CeruloplasminC-Reactive Protein, CRP*Total Protein
ChlorideCreatinineTransferrin
CholesterolDigoxin
CKDisopyramide
CO2Ethanol
CopperEthosuximide
CortisolFerritin*
C-Reactive Protein (CRP)Gentamicin
CreatinineGamma Glutamyltransferase, GGT
DigoxinGlucose
DisoprymideGlutamate Dehydrogenase, GLDH*
EthanolHaptoglobin*
EthosuximideHydroxybutyrate Dehydrogenase, HBDH*
FerritinHigh Density Lipoprotein Cholesterol, HDL
GentamicinHuman Chorionic Gonadotrophin, hCG*
GGTImmunoglobulin A, IgA*
GlucoseImmunoglobulin G, IgG*
HaptoglobinImmunoglobulin M, IgM*
HDL CholesterolIron
IgAIron Binding Capacity, Total
IgELactic Acid
IgGLDH
IgMLDL-Cholesterol
IronLidocaine

Diagnostics Division
Microgenics Products

www.thermofisher.com
www.microgenics.com

510-979-5000
510-979-5002 fax

Fremont, CA
94538-6406

46360 Fremont Blvd

4

ThermoFisher

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Iron Binding Capacity, Total (TIBC)Lipase
Lactic AcidLipoprotein (LPA)
LDHLithium
LDL-CholesterolMagnesium
LidocaineMethotrexate
LipaseN-Acetylprocainamide, NAPA
Lipoprotein (a)Osmolality
LithiumPhenobarbital
MagnesiumPhenytoin
MethotrexatePhosphorus
NAPAPotassium
OsmolalityPrealbumin
PhenobarbitalPrimidone
PhenytoinProcainamide
PhosphorusPseudocholinesterase
PotassiumQuinidine
PrealbuminSalicylate
PrimidoneSodium
ProcainamideThyroxine Free T4*
Pseudocholinesterase (PCHE)Thyroxine, Total T4
QuinidineTheophylline
Rheumatoid Factor (RF)Thyroid Stimulating Hormone, TSH
SalicylateTobramycin
SodiumTotal Protein
Thyroxine, Total T4Transferrin*
TheophyllineTriglycerides
Thyroid Stimulating Hormone, TSHTricyclic Antidepressants
TobramycinThiiodothyronine, Total T3*
Total ProteinThiiodothyronine Free T3*
TransferrinT-Uptake
TriglyceridesUnsaturated Iron Binding Capacity (UIBC)*
Tricyclic Antidepressants (TCA)Uric Acid
T-UptakeValproic Acid
Unsaturated Iron Binding Capacity (UIBC)Vancomycin
Uric Acid
Valproic Acid
Vancomycin
Zinc

Diagnostics Division
Microgenics Products

46360 Fremont Blvd

Fremont, CA
94538-6406

510-979-5000
510-979-5002 fax

www.themofisher.com
www.microgenics.com

9

5

hermoFisher . S

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Conclusion

As summarized, Omni-CORE is substantialy equivalent to the previously chem-TRAK H (K09205) and MAS
lmmunology (K960824) Controls. Substantial equivalence has been satsified.

Diagnostics Division
Microgenics Products

ﻟﺴﻨﺔ

ww.thermofisher.com

510-979-5000
510-979-5002 fax

Fremont, CA
94538-6406

16360 Fremont Blvc

6

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract image of an eagle or bird-like figure.

Public Health Service

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

NOV 03 2011

Microgenics Corporation c/o Ms. Lisa Charter Manager, Regulatory Affairs 46360 Fremont Blvd. Fremont, CA 94538

Re: K110738 Trade Name: Thermo Scientific MAS® Omni-Core Regulation Number: 21 CFR 862.1660 Regulation Name: Quality control material Regulatory Class: Class I, Reserved Product Codes: JJY Dated: September 15, 2011 Received: September 20, 2011

Dear Ms. Charter:

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).

7

Page 2 -

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 (301) 796-5450. 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 (301) 796-5760. 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 ) 796-5680 or at its Internet address http://www.fda.goy/MedicalDevicesforYou/Industry/default.htm.

Sincerely yours,

signature

Courtney H. Lias, Ph.D. 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): K110738

Device Name: MAS® Omni•CORE

Indication for Use:

Thermo Scientific MAS® Omni•CORE™ is intended for use as an assayed control for monitoring assay conditions in many clinical laboratory determinations. Include MAS® Omni•CORE with patient serum specimens when assaying for any of the constituents. Assay values are provided for the specific systems listed. The user can compare observations with their expected ranges as a means of assuring consistent performance of reagent and instrument.

Prescription Use X (21 CFR Part 801 Subpart D) 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)

And/Or

CARS

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

510(k) K110738