K Number
K120765
Device Name
VITROS CHEMISTRY PRODUCTS ECO2 SLIDES
Date Cleared
2012-10-24

(225 days)

Product Code
Regulation Number
862.1160
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For in vitro diagnostic use only. VITROS Chemistry Products ECO2 Slides quantitatively measure total carbon dioxide (CO2) concentration in serum and plasma using VITROS 250/350/950/5,1 FS and 4600 Chemistry Systems and the VITROS 5600 Integrated System. Bicarbonate/carbon dioxide measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.
Device Description
The VITROS ECO2 assay is performed using the VITROS Chemistry Products ECO2 Slides and the VITROS Chemistry Products Calibrator Kit 2 on the VITROS Chemistry Systems. The VITROS ECO2 Slide is a multi-layered, analytical element coated on a polyester support. The method is based on an enzymatic detection. All reactions necessary for a single quantitative measurement of CO2 take place within the multi-layered analytical element of a VITROS Chemistry Products ECO2 Slide. A drop of sample fluid is metered onto the slide and a reaction occurs which ultimately results in a reduction of NADH. The concentration of CO2 in the sample is determined by measuring the absorbance of the unreacted NADH by reflectance spectrophotometry.
More Information

Not Found

No
The document describes a standard enzymatic assay performed on a chemistry analyzer, with no mention of AI or ML in the device description, intended use, or performance studies.

No
This device is for "in vitro diagnostic use only" to measure total carbon dioxide, which is a diagnostic function, not a therapeutic one.

Yes
The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use only" and further explains that the measurements are used "in the diagnosis and treatment of numerous potentially serious disorders."

No

The device description clearly states it uses "VITROS Chemistry Products ECO2 Slides" which are physical, multi-layered analytical elements, and relies on "reflectance spectrophotometry" which is a hardware-based measurement technique. This indicates it is a hardware-based in vitro diagnostic device, not software-only.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "For in vitro diagnostic use only."
  • Measurement of Analyte in Biological Sample: The device measures the concentration of total carbon dioxide (CO2) in serum and plasma, which are biological samples.
  • Diagnostic Purpose: The intended use is for "diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance," which is a clear diagnostic purpose.
  • In Vitro Nature: The description of the device and method indicates that the reactions and measurements take place outside of the living body, within the multi-layered analytical element of the slide.

N/A

Intended Use / Indications for Use

For in vitro diagnostic use only. VITROS Chemistry Products ECO₂ Slides quantitatively measure total carbon dioxide (CO2) concentration in serum and plasma using VITROS 250/350/950/5,1 FS, and 4600 Chemistry Systems and the VITROS 5600 Integrated System. Bicarbonate/carbon dioxide measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.

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

KHS

Device Description

The VITROS ECO2 assay is performed using the VITROS Chemistry Products ECO2 Slides and the VITROS Chemistry Products Calibrator Kit 2 on the VITROS Chemistry Systems. The VITROS ECO2 Slide is a multi-layered, analytical element coated on a polyester support. The method is based on an enzymatic detection. All reactions necessary for a single quantitative measurement of CO2 take place within the multi-layered analytical element of a VITROS Chemistry Products ECO2 Slide. A drop of sample fluid is metered onto the slide and a reaction occurs which ultimately results in a reduction of NADH. The concentration of CO2 in the sample is determined by measuring the absorbance of the unreacted NADH by reflectance spectrophotometry.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

The Ortho-Clinical Diagnostics, Inc. procedure for risk management is based on ISO 14971, Medical Devices - Application of Risk Management to Medical Devices and references CDRH Medical Device Use-Safety: Incorporating Human Factors Engineering into Risk Management. The risk analysis method used to assess the impact of the device modification was a Hazard Analysis. The following performance characteristics: accuracy, precision, linearity, potential interferents, long term and on-analyzer stability, limit of detection and specimen type were considered for potential hazards. Validation and verification testing were conducted and the modified device met the pre-determined acceptance criteria for all the performance testing.The modification does not negatively impact the performance of the device or the safety and effectiveness of the device.

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.

K001133

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

§ 862.1160 Bicarbonate/carbon dioxide test system.

(a)
Identification. A bicarbonate/carbon dioxide test system is a device intended to measure bicarbonate/carbon dioxide in plasma, serum, and whole blood. Bicarbonate/carbon dioxide measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.(b)
Classification. Class II.

0

K120763

510(k) SUMMARY

A summary of 510(k) safety and effectiveness information in accordance with the requirements of 21 CFR 807.92.

Submitter Information
NameOrtho-Clinical Diagnostics, Inc.
Address100 Indigo Creek Drive
Rochester, New York 14626
Phone number(585) 453-3962
Fax number(585) 453-3368
Establishment
Registration Number1319809
Name of contact
personGaozhen Hang
Date preparedMarch 12, 2012
Name of device
Trade or proprietary
nameVITROS Chemistry Products ECO2 Slides
Common or usual
nameCarbon Dioxide Test
Classification nameBicarbonate/ carbon dioxide test system
Classification panelClinical Chemistry
Regulation21 CFR 862.1160
Product Code(s)KHS
Legally marketed
device(s) to which
equivalence is claimedThe VITROS Chemistry Products ECO2 Slides (modified) are
substantially equivalent to the VITROS Chemistry Products ECO2
Slides (current). The FDA cleared the VITROS Chemistry Products
ECO2 Slides on April 24, 2000 (K001133).
Reason for 510(k)
submissionA Special 510(k) for a modification to own device which does not
include a change in intended use or fundamental technology. The
biological source of Phosphoenolpyruvate carboxylase (PEPC), one of
the reactive ingredients used in the VITROS Chemistry Products
ECO2 Slides is being changing from wheat germ to a microorganism.
This change provides improved stability of enzyme solution while
being used in the manufacture process.
Device descriptionThe VITROS ECO2 assay is performed using the VITROS Chemistry
Products ECO2 Slides and the VITROS Chemistry Products Calibrator
Kit 2 on the VITROS Chemistry Systems. The VITROS ECO2 Slide is a
multi-layered, analytical element coated on a polyester support. The
method is based on an enzymatic detection. All reactions necessary for
a single quantitative measurement of CO2 take place within the multi-
layered analytical element of a VITROS Chemistry Products ECO2
Slide. A drop of sample fluid is metered onto the slide and a reaction
occurs which ultimately results in a reduction of NADH. The
concentration of CO2 in the sample is determined by measuring the
absorbance of the unreacted NADH by reflectance spectrophotometry.
Intended use of the
deviceFor in vitro diagnostic use only.
VITROS Chemistry Products ECO2 Slides quantitatively measure total
carbon dioxide (CO2) concentration in serum and plasma using
VITROS 250/350/950/5,1 FS and 4600 Chemistry Systems and the
VITROS 5600 Integrated System.
Indications for useFor in vitro diagnostic use only. VITROS Chemistry Products ECO₂
Slides quantitatively measure total carbon dioxide (CO2) concentration
in serum and plasma using VITROS 250/350/950/5,1 FS, and 4600
Chemistry Systems and the VITROS 5600 Integrated System.
Bicarbonate/carbon dioxide measurements are used in the diagnosis
and treatment of numerous potentially serious disorders associated
with changes in body acid-base balance.
Summary of the technological characteristics of the device compared to the predicate device
CharacteristicNew Device [VITROS ECO2
Slide (Modified)]Predicate [VITROS ECO2 Slide
(Current) [K001133]
Intended UseNo ChangeFor in vitro diagnostic use only.
VITROS Chemistry Products ECO2
Slides quantitatively measure total
carbon dioxide (CO2) concentration in
serum and plasma using VITROS
250/350/950/5,1 FS, and 4600
Chemistry Systems and the VITROS
5600 Integrated System.
Basic PrincipleNo ChangeEnzymatic Endpoint test type utilizing
reflectance spectrophotometry

1

·

2

| Concentrations of VITROS
ECO2 Slide Reactive
Ingredients per cm-squared | Phosphoenolpyruvate
carboxylase
(microorganism E.C.
4.1.1.31) 0.20 U | Phosphoenolpyruvate carboxylase
(wheat germ E.C. 4.1.1.31) 0.20 U |
|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|
| | No Change | Malate dehydrogennase (porcine heart
E.C.1.1.1.37) 0.26 U;
phosphoenolpyruvate 0.39 mg and
nicotinamide adenine dinucleotide,
reduced 0.44 mg |
| Sample volume | No Change | 6 µL |
| Sample type | No Change | Serum, plasma |
| Assay Range Serum, Plasma | No Change | 5.0-40.0 mmol/L |
| Incubation time and
temperature | No Change | 5 minutes at 37°C |

Summary of design control activities conducted in relation to the device modification

The Ortho-Clinical Diagnostics, Inc. procedure for risk management is based on ISO 14971, Medical Devices - Application of Risk Management to Medical Devices and references CDRH Medical Device Use-Safety: Incorporating Human Factors Engineering into Risk Management. The risk analysis method used to assess the impact of the device modification was a Hazard Analysis. The following performance characteristics: accuracy, precision, linearity, potential interferents, long term and on-analyzer stability, limit of detection and specimen type were considered for potential hazards. Validation and verification testing were conducted and the modified device met the pre-determined acceptance criteria for all the performance testing.The modification does not negatively impact the performance of the device or the safety and effectiveness of the device.

CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL DATA

The information presented in the premarket notification provides a reasonable assurance that the VITROS Chemistry Products ECO₂ Slides (modified) for use with human serum and plasma is substantially equivalent to the predicate (unmodified VITROS ECO2 Slide) and is safe and effective for the stated intended use.

3

Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo consists of two main elements: a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter, and a stylized symbol of a human figure. The human figure is composed of three overlapping profiles facing to the right, representing the department's focus on people and their well-being. The seal and the figure are both rendered in black.

10903 New Hampshire Avenue Silver Spring, MD 20993

Ortho-Clinical Diagnostics, Inc c/o Gaozhen Hang 100 Indigo Creek Drive Rochester, NY 14626-5101

Re: K120765

Trade Name: VITROS® Chemistry Products ECO2 Slides Regulation Number: 21 CFR §862.1160 Regulation Name: Bicarbonate/carbon dioxide test system Regulatory Class: Class II Product Codes: KHS Dated: September 27, 2012 Received: October 1, 2012

Dear Ms. Hang:

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).

4

Page 2

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please 11 you atent office of In Vitro Diagnostic Devices and Radiological Health 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) 796-576-. For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/Medical Devices/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/gov/MedicalDevices/ResourcesforYou/Industry/default.htm

Sincerely yours,

Courtney H. Lias, Ph.D Director Division of Chemistry and Toxicology Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

5

Indications for Use Form

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: VITROS® Chemistry Products ECO2 Slides

Indications for Use:

For in vitro diagnostic use only. VITROS Chemistry Products ECO2> Siides quantitatively measure total carbon dioxide (CO2) concentration in serum and plasma using VITROS 250/350/950/5,1 FS and 4600 Chemistry Systems and the VITROS 5600 Integrated System. Bicarbonate/carbon dioxide measurements are used in the diagnosis and treatment of Dical buildle/carbon "disorders associated with changes in body acid-base balance.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter 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)

Rute Chuler

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

510(k) K120765

Page 1 of _1