K Number
K121588
Device Name
RANDOX CYSTATIN C CONTROL LEVEL 2 RANDOX CYSTATIN C CONTROL LEVEL 3
Date Cleared
2012-06-20

(20 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Randox Cystatin C Controls Level 2 and Level 3 are intended for use as assayed quality control material for monitoring the precision and accuracy of the quantitative determination of human Cystatin C by immunoturbidimetric Assays. This in vitro diagnostic device is intended for prescription use only and can only be used by professionals.
Device Description
Randox Cystatin C Controls are manufactured at two levels, Level 2 and Level 3. They are single analyte controls derived from human serum. The analyte concentrations in each control have been reviewed by a panel of experts to ensure that the concentrations are clinically relevant for use in routine hospital laboratories.
More Information

Not Found

No
The summary describes quality control materials for laboratory assays and explicitly states "Not Found" for mentions of AI, DNN, or ML.

No
Explanation: This device is an in vitro diagnostic quality control material used for monitoring the precision and accuracy of human Cystatin C determination, not for direct therapeutic intervention.

Yes
Explanation: The "Intended Use / Indications for Use" section explicitly states, "This in vitro diagnostic device is intended for prescription use only and can only be used by professionals."

No

The device description clearly states it is a quality control material derived from human serum, which is a physical substance, not software.

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

Here's why:

  • Explicitly Stated: The "Intended Use / Indications for Use" section clearly states: "This in vitro diagnostic device is intended for prescription use only and can only be used by professionals."
  • Function: The device is a quality control material used to monitor the precision and accuracy of a quantitative determination of a human analyte (Cystatin C) using an immunoturbidimetric assay. This is a classic function of an in vitro diagnostic control.
  • Intended Use: The intended use is for monitoring the performance of an assay that is performed in vitro (outside the body) on a human sample (serum).

Therefore, based on the provided text, the Randox Cystatin C Controls Level 2 and Level 3 are indeed IVDs.

N/A

Intended Use / Indications for Use

The Randox Cystatin C Controls Levels 2 and 3 are intended for in vitro diagnostic use as assayed quality control material for monitoring the precision and accuracy of the quantitative determination of human Cystatin C by immunoturbidimetric Assays.

Product codes

JJX

Device Description

Randox Cystatin C Controls are manufactured at two levels, Level 2 and Level 3. They are single analyte controls derived from human serum. The analyte concentrations in each control have been reviewed by a panel of experts to ensure that the concentrations are clinically relevant for use in routine hospital laboratories.

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

This in vitro diagnostic device is intended for prescription use only and can only be used by professionals.

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)

K041627

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

JUN 20 2012

1715

510(k) Summary

Safety and Effectiveness as Required by 21 CFR 807.92

Manufacturer and Submitter

Name: Randox Laboratories Limited

Address: 55 Diamond Road, Crumlin, County Antrim, BT29 4QY, United Kingdom.

Telephone: +44 (0) 28 9442 2413 Fax: +44 (0) 28 9445 2912 E-mail: marketing@randox.com

Device Name

Trade Names: Randox Cystatin C Level 2 and Randox Cystatin C Level 3.

Common Names: Cystatin C Level 2 and Randox Cystatin C Level 3.

Classification: Single (Specified) Analyte Controls (Assayed and Unassayed)

Product Code: JJX

Date of Summary Preparation

11™ May 2012

Predicate Devices

DakoCytomation Cystatin C Control Set, K041627

1

Device Description ·

Randox Cystatin C Controls are manufactured at two levels, Level 2 and Level 3. They are single analyte controls derived from human serum. The analyte concentrations in each control have been reviewed by a panel of experts to ensure that the concentrations are clinically relevant for use in routine hospital laboratories.

Intended Use

Randox Cystatin C Controls Levels 2 and 3 are intended for in vitro diagnostic use as assayed quality control material for monitoring the precision and accuracy of the quantitative determination of human Cystatin C by immunoturbidimetric Assays.

Similarities to the Predicate Device

  • The Randox Cystatin C Controls are bi-level materials intended for in vitro diagnostic use in quality control.
  • They have a human serum matrix and are preserved with sodium azide
  • They are provided in liquid form and are ready to use
  • They are stable up to the expiry date when capped and stored at +2 to +8℃.

Stability

OPENED: The Cystatin C Controls are stable for 30 days when capped in the original container at +2 to +8°C in the absence of contamination.

UNOPENED: The Cystatin C Controls are supplied ready to use and are stable up to the expiry date when capped and stored at +2 to +8°C in the absence of contamination.

Conclusion

Testing results indicate that the proposed device is substantially equivalent to the predicate device.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/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" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, facing to the right.

10903 New Hampshire Avenue Silver Spring, MD 20993

JUN 2002012

Randox Laboratories Limited c/o Pauline Armstrong 55 Diamond Road, Crumlin, County Antrim, BT29 4QY, United Kingdom

K121588 Re:

Trade Name: Cystatin C Control Level 2 and Cystatin C Control Level 3 Regulation Number: 21 CFR §862.1660 Regulation Name: Quality Control Material (assayed and unassayed) Regulatory Class: Class I, reserved Product Codes: JJX Dated: May 31, 2012 Received: May 31, 2012

Dear Ms. Armstrong:

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 approvisions of the Act. The general controls provisions of the Act include controls providents or 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 (1 Mrs), it may of sachest to Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. your device our of to to to to ther announcements concerning your device in the Eederal 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 modifine and regulations and regulations administered by other Federal agencies. of the Act of ally I ederal startists and squirements, including, but not limited to: registration 1 ou maxe compt) ; labeling (21 CFR Parts 801 and 809); medical device and fisting (21 OF N 1 art 007), device-related adverse events) (21 CFR 803); and good reporting (reporting of measur nents as set forth in the quality systems (QS) regulation (21 CFR Part 820).

3

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,

signature

Steven H. Lein, Ph.D.

Countney 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

4

Indications for Use

5 10(k) Number (if known):

Device Name: Cystatin C Controls Levels 2 and 3

Indication for Use:

The Randox Cystatin C Controls Level 2 and Level 3 are intended for use as assayed quality control material for monitoring the precision and accuracy of the quantitative determination of human Cystatin C by immunoturbidimetric Assays.

N for a more and read the comments of the state of the state of the

This in vitro diagnostic device is intended for prescription use only and can only be used by professionals.

Prescription Use > (21 CFR Part 801 Subpart D) And/Or

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 Devices (OIVD)

signature

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

510(k) K|2/.58