K Number
K122838
Device Name
LIQUICKEK IMMUNOASSAY PLUS CONTROL, LEVEL 1 MODEL 267, LIQUICHEK IMMUNOASSAY PLUS CONTROL, LEVEL 2 MODEL 268, LIQUICHEK
Date Cleared
2012-10-17

(30 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.
Device Description
Liquichek Immunoassay Plus Control is prepared from human serum with added constituents of human and animal origin, chemicals, therapeutic drugs, stabilizers and preservatives. The control is provided in liquid form for convenience. Each human donor unit used to manufacture this control was tested by FDA accepted methods and found non-reactive for Hepatitis B Surface Antigen (HBsAg), antibody to Hepatitis C (HCV) and antibody to HIV-1/HIV-2. This product may also contain other human source material for which there are no approved tests.
More Information

Not Found

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

No
Explanation: The device is an assayed quality control serum used to monitor the precision of laboratory testing procedures, not to treat or diagnose a disease.

No
The device is described as an "assayed quality control serum to monitor the precision of laboratory testing procedures," not to diagnose patients. It is used to ensure the accuracy of other tests.

No

The device is a liquid quality control serum, which is a physical substance, not software.

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

Here's why:

  • Intended Use: The intended use explicitly states it is "to monitor the precision of laboratory testing procedures for the analytes listed in the package insert." This is a classic function of a quality control material used in laboratory testing.
  • Device Description: It is a "quality control serum" prepared from biological materials and used in a laboratory setting.
  • Intended User / Care Setting: It is intended for "laboratory testing procedures."

These characteristics align with the definition of an In Vitro Diagnostic device, which is used to examine specimens derived from the human body to provide information for diagnostic purposes. While this specific device is a control material and not a diagnostic test itself, it is an essential component used in conjunction with diagnostic tests performed in vitro.

N/A

Intended Use / Indications for Use

Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert.

Product codes

JJY

Device Description

Liquichek Immunoassay Plus Control is prepared from human serum with added constituents of human and animal origin, chemicals, therapeutic drugs, stabilizers and preservatives. The control is provided in liquid form for convenience.

Each human donor unit used to manufacture this control was tested by FDA accepted methods and found non-reactive for Hepatitis B Surface Antigen (HBsAg), antibody to Hepatitis C (HCV) and antibody to HIV-1/HIV-2. This product may also contain other human source material for which there are no approved tests.

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

laboratory testing procedures

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)

Stability studies have been performed for Liquichek Immunoassay Plus Control to determine following claims:

Thawed Opened Stability: 4 days at 2 to 8°C 4 days at 2 to 8°C. Thawed Unopened Stability: Shelf Life Stability: 28 Months at -20°C to -50°C

The acceptance criteria for above studies is defined as the recovery result on final day (TFna) being ± 10% of the recovery result of freshly opened vial (Tzero).

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

Not Found

Predicate Device(s)

K001373

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

Summary of Safety and Effectiveness

Liquichek Immunoassay Plus Control

OCT 17 2012

1.0 Submitter

Bio-Rad Laboratories 9500 Jeronimo Road, Irvine, California 92618-2017 Telephone: (949) 598-1200 (949) 598-1557 Fax:

Contact Person

Suzanne Parsons Regulatory Affairs Manager Telephone: (949) 598-1467

Date of Summary Preparation

October 16, 2012

2.0 Device Identification

Product Trade Name:Liquichek Immunoassay Plus Control
Common Name:Multi-Analyte Controls, All Kinds (Assayed)
Classifications:Class I
Product Code:JJY
Regulation Number:21 CFR 862.1660

Device to Which Substantial Equivalence is Claimed 3.0

Liquichek Immunoassay Plus Control Bio-Rad Laboratories Irvine, California

510 (k) Number: K001373

4.0 Description of Device

Liquichek Immunoassay Plus Control is prepared from human serum with added constituents of human and animal origin, chemicals, therapeutic drugs, stabilizers and preservatives. The control is provided in liquid form for convenience.

Each human donor unit used to manufacture this control was tested by FDA accepted methods and found non-reactive for Hepatitis B Surface Antigen (HBsAg), antibody to Hepatitis C (HCV) and antibody to HIV-1/HIV-2. This product may also contain other human source material for which there are no approved tests.

1

5.0 Value Assignment

The mean values and the corresponding ±3SD ranges printed in this insert were derived from replicate analyses and are specific for this lot of product. The tests listed were performed by the manufacturer and/or independent laboratories using manufacturer supported reagents and a representative sampling of this lot of product. It is recommended that each laboratory establish its own acceptable ranges and use those provided only as guides. Laboratory established ranges may vary from those listed during the life of this control. Variations over time and between laboratories may be caused by differences in laboratory technique, instrumentation and reagents, or by manufacturer test method modifications

6.0 Intended Use

Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert.

7.0 Comparison of the new device with the Predicate Device

Liguichek Immunoassay Plus Control claims substantial equivalence to the Liquichek Immunoassay Plus Control currently in commercial distribution (K001373). Table 1 (below) contains comparison information of similarities and differences between the new and predicate device to which substantial equivalence is claimed.

| Characteristics | Liquichek Immunoassay Plus Control
(New Device) | Liquichek Immunoassay Plus Control
(Predicate Device, K001373) |
|----------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Similarities | | |
| Intended Use | Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert. | Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in this package insert. |
| Matrix | Human Serum | Human Serum |
| Form | Liquid | Liquid |
| Differences | | |
| Fill Volume | Level 1, 2 and 3 - 12 x 2.5 mL
Trilevel MiniPak - 3 x 2.5 mL | Level 1, 2 and 3- 12 x 5 mL
Trilevel MiniPak - 3 x 10 mL |
| Thawed Opened
Stability | 4 days at 2 to 8°C | 14 days at 2°C to 8 °C
Except Folate: 4 days at 2 to 8°C
Estradiol: 5 days at 2 to 8°C |
| Thawed
Unopened
Stability | 4 days at 2 to 8°C | 30 days at 2 to 8°C
Except Folate: 4 days at 2 to 8°C
Estradiol: 8 days at 2 to 8°C
Free PSA, PSA, Prolactin: 14 days at 2 to 8°C |
| Storage unopened
(Shelf life) | -20°C to -50°C until expiration date | -20°C to -70°C until expiration date |

Table 1. Similarities and Differences between new and predicate device.

2

Bio-Rad Laboratories Premarket Notification Section 510 (k) Liquichek Immunoassay Plus Control

AnalytesContains:Contains:
AcetaminophenLithium17-Alpha
HydroxyprogesteroneImipramine
Alpha FetoproteinN-Acetylprocainamide11-DeoxycortisolInsulin
AmikacinPhenobarbital25-Hydroxy Vitamin DIron
CaffeinePhenytoinAcetaminophenLuteinizing Hormone
CarbamazepineProcainamideAlpha FetoproteinLidocaine
Carcinoembryonic AntigenProlactinAldosteroneLithium
CK-MB IsoenzymeProstate Specific AntigenAmikacinN-Acetylprocainamide
DigoxinProstate Specific
Antigen, FreeAmiodaroneNetilmicin
EstradiolSalicylateAmitriptylineNortriptyline
FerritinT3, FreeAndrostenedioneProstatic Acid
Phosphatase
FolateT3, TotalAngiotensin IPhenobarbital
Follicle Stimulating HormoneT3 Uptake/T UptakeAntithyroid Peroxidase
AntibodiesPhenytoin
GentamicinT4, FreeAntithyroglobulin
antibodyPhenytoin, Free
Human Chorionic Gonadotropin
-Beta SubunitT4, TotalCaffeinePrimidone
Immunoglobulin ATheophyllineCarbamazepineProcainamide
Immunoglobulin ETobramycinCarbamazepine, FreeProgesterone
Immunoglobulin GThyroid Stimulating
HormoneCarcinoembryonic
AntigenProlactin
Immunoglobulin MValproic AcidChloramphenicolPropanolol
IronVancomycinCK-MB IsoenzymeProstate Specific
Antigen
Luteinizing HormoneVitamin B12CortisolProstatic Specific
Antigen, Free
LidocaineCyclosporineParathyroid
Hormone - MM
DesipramineQuinidine
Does not Contain:DehydroepiandrosteroneSalicylate
17-Alpha HydroxyprogesteroneHuman Growth HormoneDehydroepiandrosterone
SulfateSex Hormone
Binding Globulin
11-DeoxycortisolIbuprofenDigoxinSomatomedin-C
25-Hydroxy Vitamin DImipramineDisopyramideT3, Free
AldosteroneInsulinEstradiolT3, Total
AmiodaroneNetilmicinEstriol, FreeT3 Uptake/T Uptake
AmitriptylineNortriptylineEstrogen, TotalT4, Free
AndrostenedioneProstatic Acid
PhosphataseEthosuximideT4, Total
Angiotensin IPhenytoin, FreeEstriol, TotalThyroxine Binding
Globulin
Antithyroid Peroxidase
AntibodiesPrimidoneFerritinTestosterone
Antithyroglobulin antibodyProgesteroneFlecainideTestosterone, Free
Carbamazepine, FreePropanololFolateTheophylline
ChloramphenicolParathyroid Hormone -
MMFollicle Stimulating
HormoneTobramycin
CortisolQuinidineFructosamineTotal Iron Binding
Capacity
CyclosporineSex Hormone Binding.
GlobulinGentamicinThyroid Stimulating
Hormone
DesipramineSomatomedin-CHuman Chorionic
GonadotropinTricyclic
Antidepressants
Screen
DehydroepiandrosteroneThyroxine Binding
GlobulinHuman Chorionic
Gonadotropin -Beta
SubunitThyroglobulin
Dehydroepiandrosterone SulfateTestosteroneHuman Growth HormoneValproic Acid
DisopyramideTestosterone, FreeIbuprofenValproic Acid, Free
Estriol, FreeTotal Iron Binding
CapacityImmunoglobulin AVancomycin
Estriol, TotalTricyclic Antidepressants
ScreenImmunoglobulin EVitamin B12
Estrogen, TotalThyroglobulinImmunoglobulin G
EthosuximideValproic Acid, FreeImmunoglobulin M
Flecainide
Fructosamine
Human Chorionic Gonadotropin

Statement of Supporting Data 8.0

Stability studies have been performed for Liquichek Immunoassay Plus Control to determine following claims:

Thawed Opened Stability: 4 days at 2 to 8°C 4 days at 2 to 8°C. Thawed Unopened Stability: Shelf Life Stability: 28 Months at -20°C to -50°C

The acceptance criteria for above studies is defined as the recovery result on final day (TFna) being ± 10% of the recovery result of freshly opened vial (Tzero).

3

.

9.0 Conclusion

Liquichek Immunoassay Plus Control is intended to be used for the same purpose as the predicate device. It has human serum matrix and performs similarly as the predicate device.

All supporting data is retained on file at Bio-Rad Laboratories.

1


4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/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 symbol that resembles a stylized eagle or bird in flight, with human profiles incorporated into the design.

10903 New Hampshire Avenue Silver Spring, MD 20993

Bio-Rad Laboratories c/o Suzanne Parsons 9500 Jeronimo Road Irvine, CA 92618-2017

K122838 Re:

Trade Name: Liquichek Immunoassay Plus Control Regulation Number: 21 CFR §862.1660 Regulation Name: Quality Control Material (assayed and unassayed) Regulatory Class: Class I, reserved Product Codes: JJY Dated: September 13, 2012 Received: September 17, 2012

Dear Suzanne Parsons:

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).

OCT 17 2012

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 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

6

Indications for Use Form

510(k) Number (if known):

K122838

Device Name:

Liquichek Immunoassay Plus control

Indications for Use:

Liquichek Immunoassay Plus Control is intended for use as an assayed quality control serum to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.

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

Over-The-Counter Use (21 CFR 807 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)

Rutd Clu

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety 122838 510(K)