K Number
K121237
Device Name
BETA HCG CONTROL LEVEL 1 BETA HCG CONTROL LEVEL 2 BETA HCG CONTROL LEVEL 3 BETA HCG CALIBRATION VERIFICATION CONTROLS LE
Date Cleared
2012-05-18

(24 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Cliniqa Beta HCG Controls, Levels 1, 2, and 3 and Cliniqa Beta HCG Calibration Verification Controls, Levels 1, 2, and 3 are assayed quality control materials used to monitor the precision of Beta HCG assays.
Device Description
Cliniqa Beta HCG Control is prepared from human serum and purified human antigens. Preservatives and stabilizers have been added to maintain product integrity. CLINIQA Beta HCG Control a ready-to-use liguid control requiring no reconstitution or frozen storage. Cliniqa Beta HCG Calibration Verification Control is prepared from human serum and purified human antigens. Preservatives and stabilizers have been added to maintain product integrity. CLINIQA Beta HCG Calibration Verification Control a ready-to-use liquid control requiring no reconstitution or frozen storage.
More Information

No
The summary describes quality control materials for Beta HCG assays, which are liquid controls used to monitor precision. There is no mention of AI or ML in the intended use, device description, or performance studies.

No
This device is a quality control material used to monitor the precision of Beta HCG assays, not to treat or cure a disease.

No
The device is described as an "assayed quality control material used to monitor the precision of Beta HCG assays." Quality control materials are used to ensure the accuracy of diagnostic tests but are not diagnostic devices themselves.

No

The device description clearly states the product is a liquid control material prepared from human serum and purified human antigens, indicating it is a physical substance, not software.

Based on the provided information, yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use explicitly states that the controls are "used to monitor the precision of Beta HCG assays." Beta HCG assays are laboratory tests performed on biological samples (like serum) to measure the level of Beta HCG, which is a marker for pregnancy and certain medical conditions. Monitoring the precision of these assays is a crucial part of ensuring the accuracy and reliability of the diagnostic results.
  • Device Description: The device is prepared from "human serum and purified human antigens," indicating it is a biological material intended for use in a laboratory setting.
  • Predicate Device: The mention of a predicate device (K022232; CLINIQA Liquid QC hCG Control, Levels 1, 2, 3) which is also a control material for hCG assays, further supports its classification as an IVD. Predicate devices are typically other legally marketed IVDs.

In summary, the device is a control material used in a laboratory setting to assess the performance of an in vitro diagnostic test (Beta HCG assay), which directly aligns with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Cliniqa Beta HCG Control Level 1, Cliniqa Beta HCG Control Level 2, Cliniqa Beta HCG Control Level 3, are assayed quality control materials used to monitor the precision of Beta HCG assays

Cliniga Beta HCG Calibration Verification Controls, Levels 1, 2, and 3 are assayed quality control materials used to monitor the precision of Beta HCG assays.

Product codes

JJX

Device Description

CLINIQA Beta HCG Control is prepared from human serum and purified human antigens. Preservatives and stabilizers have been added to maintain product integrity. CLINIQA Beta HCG Control a ready-to-use liguid control requiring no reconstitution or frozen storage.

CLINIQA Beta HCG Calibration Verification Control is prepared from human serum and purified human antigens. Preservatives and stabilizers . have been added to maintain product integrity. CLINIQA Beta HCG Calibration Verification Control a ready-to-use liquid control requiring no reconstitution or frozen storage.

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 Cliniqa Beta HCG Control Level 1,2,3 and the Cliniqa Beta HCG Calibration Verification Controls, Levels 1, 2, 3 was evaluated for value assignment and stability.

Real-time and accelerated stability tests were conducted to establish the shelflife and open-vial claims.
Shelf Life of the Cliniqa Beta HCG Control Level 1,2,3 is 3 years at 2-8°C Shelf Life of the Cliniqa Beta HCG Calibration Verification Controls, Levels 1, 2, 3 is 3 years at 2-8ºC.

Real-time testing was performed and the data support the package insert claim that the Cliniqa Beta HCG Control Level 1, 2, 3 is stable up 30 days at 2-8°C once opened.

Real-time testing was performed and the data support the package insert claim that the Cliniqa Beta HCG Calibration Verification Control Level 1, 2, 3 is stable up 30 days at 2-8℃ once opened.

The accelerated stability testing performed at 45℃ and 37℃ supports an initial shelf-life claim of 3.6 years at 2-8°C. For the Cliniqa Beta HCG Control Level 1, 2, 3 Real-time testing at 2-8°C is on-going to support a claim of 3 years.

The accelerated stability testing performed at 45°C and 37°C supports an initial shelf-life claim of3.6 years at 2-8°C. For the Cliniqa Beta HCG Calibration Verification Control Level 1, 2, 3 Real-time testing at 2-8℃ is on-going to support a claim of 3 years.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K022232

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.

0

K121237

:


.

510(k) Summary

MAY 1 8 2012

:

| Cliniqa Corporation
288 Distribution Street

San Marcos, CA 92078
Proprietary name: Cliniqa Beta HCG Control Level 1,2,3
Common name: Quality Control Material (Assayed and Unassayed)
Classification: Class I, Reserved
Product Code: JJX
Proprietary name: Cliniqa Beta HCG Calibration Verification Control Levels
Common name: Quality Control Material (Assayed and Unassayed)
Classification: Class I, Reserved
Product Code: JJX
CLINIQA Liquid QC hCG Control, Levels 1, 2, 3 (K022232) .
Cliniqa Beta HCG Control Level 1, 2, 3
CLINIQA Beta HCG Control is prepared from human serum and
purified human antigens. Preservatives and stabilizers have been added
to maintain product integrity. CLINIQA Beta HCG Control a ready-to-
use liguid control requiring no reconstitution or frozen storage.
Cliniqa Beta HCG Calibration Verification Control Levels 1,2,3
CLINIQA Beta HCG Calibration Verification Control is prepared from
human serum and purified human antigens. Preservatives and stabilizers .
have been added to maintain product integrity. CLINIQA Beta HCG
Calibration Verification Control a ready-to-use liquid control requiring
no reconstitution or frozen storage.
1, 2, 3

1

Intended use

Cliniqa Beta HCG Control Level 1, Cliniqa Beta HCG Control Level 2, Cliniqa Beta HCG Control Level 3, are assayed quality control materials used to monitor the precision of Beta HCG assays

Cliniga Beta HCG Calibration Verification Controls, Levels 1, 2, and 3 are assayed quality control materials used to monitor the precision of Beta HCG assays.

Comparison Table

·

ItemDEVICE:PREDICATE (K022232)
Cliniqa Beta HCG Control Level
1,2,3Cliniqa LiquidQC hCG Control
Level 1, Cliniqa LiquidQC hCG
Cliniqa Beta HCG Calibration
Verification Controls, Level 1,2,3.Control Level 2, Cliniqa
LiquidQC hCG Control Level 3,
Intended
Use:Cliniqa Beta HCG Control Level 1,
Cliniqa Beta HCG Control Level 2,
Cliniqa Beta HCG Control Level
3, are assayed quality control
materials used to monitor the
precision of Beta HCG assaysCLINIQA LiquidQC Control is
intended for use as an assayed
quality control material for
quantitative Human Chorionic
Gonadotropin analysis.
Cliniqa Beta HCG Calibration
Verification Controls, Levels 1, 2,
and 3 are assayed quality control
materials used to monitor the
precision of Beta HCG assays.CLINIQA LiquidQC Control is
intended for use as an assayed
quality control material for
quantitative Human Chorionic
Gonadotropin analysis.
MatrixHuman serum with added buffer,
stabilizers, and purified human
hormones.Human plasma and human
hormones. Preservatives,
stabilizers, and sodium azide
have been added.
FormLiquidLiquid
Open Vial
Stability30 days30 days
LimitationsNot ApplicableContains Sodium Azide
CautionHuman Source MaterialHuman Source Material
ValuesSpecific for each lotSpecific for each lot
StabilityOpened: 30 days at 2-8°C
Shelf Life: 3 years at 2-8°COpened: 30 days at 2-8°C
Shelf Life: 3 years at 2-8°C

2

| Performance
Characteristics | The Cliniqa Beta HCG Control Level 1,2,3 and the Cliniqa Beta HCG
Calibration Verification Controls, Levels 1, 2, 3 was evaluated for value
assignment and stability. See the following sections for details. |
|--------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Traceability | Traceability is dependent on the manufacturer of the reagents used for value
assignment. Calibration of the Roche Elecsys HCG plus Beta reagent is
standardized against the 4th International Standard for Chorionic
Gonadotropin from the National Institute of Biological Standards and
Control (NIBSC) code 75/589. |
| Value
Assignment | The Mean and Expected Range for each method shall be presented in each
lot-specific insert of Cliniqa Beta HCG Controls and Calibration Verification
Controls. The indicated values shall be derived from analysis of vials
representative of the entire lot. The raw data obtained for each method shall
be averaged to obtain the Mean. The Expected Range of the Mean shall be
determined by combining estimates of assay variance as determined by
participating laboratory data and other currently available studies.

The Expected Range of the Mean is provided to assist the laboratory until it
has established its own mean and standard deviation. The indicated Mean
and Expected Range of the Mean is provided to serve only as a guide in
assessing the performance of test method in laboratories.

Assignment of values shall be performed using the reagents, calibrators, and |

.

3

Stability

Real-time and accelerated stability tests were conducted to establish the shelflife and open-vial claims.

Shelf Life of the Cliniqa Beta HCG Control Level 1,2,3 is 3 years at 2-8°C Shelf Life of the Cliniqa Beta HCG Calibration Verification Controls, Levels 1, 2, 3 is 3 years at 2-8ºC.

Open-Vial Stability

Real-time testing was performed and the data support the package insert claim that the Cliniqa Beta HCG Control Level 1, 2, 3 is stable up 30 days at 2-8°C once opened.

Open-Vial Stability

Real-time testing was performed and the data support the package insert claim that the Cliniqa Beta HCG Calibration Verification Control Level 1, 2, 3 is stable up 30 days at 2-8℃ once opened.

Shelf-Life Stability:

The accelerated stability testing performed at 45℃ and 37℃ supports an initial shelf-life claim of 3.6 years at 2-8°C. For the Cliniqa Beta HCG Control Level 1, 2, 3 Real-time testing at 2-8°C is on-going to support a claim of 3 years.

The accelerated stability testing performed at 45°C and 37°C supports an initial shelf-life claim of3.6 years at 2-8°C. For the Cliniqa Beta HCG Calibration Verification Control Level 1, 2, 3 Real-time testing at 2-8℃ is on-going to support a claim of 3 years.

4

Image /page/4/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 circle is a stylized image of an eagle with its wings spread.

Food and Drug Administration

10903 New Hampshire Avenue Silver Spring, MD 20993

Cliniqa Corporation c/o Dawn Gast 288 Distribution Street San Marcos. CA 92078

MAY 1 8 2012

Re: K121237

Trade Name: Cliniqa Beta HCG Control Level 1, 2, 3

Cliniga Beta HCG Calibration Verification Controls Levels 1, 2, 3 Regulation Number: 21 CFR §862.1660 Regulation Name: Quality control material Regulatory Class: Class I, reserved Product Codes: JJX Dated: April 23, 2012 Received: April 24, 2012

Dear Ms. Gast:

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).

5

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/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,

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

Enclosure

6

Indications for Use Form

510(k) Number (if known): K12/237

Device Name:

Cliniga Beta HCG Control Level 1,2 ,3

Cliniqa Beta HCG Calibration Verification Controls Levels 1, 2, 3

Indications for Use:

Cliniga Beta HCG Controls, Levels 1, 2, and 3 and Cliniqa Beta HCG Calibration Verification Controls, Levels 1, 2, and 3 are assayed quality control materials used to monitor the precision of Beta HCG assays.

Prescription Use X (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)

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

KIZIZ37 510(K)

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