(25 days)
C.f.a.s. (Calibrator for automated systems) PAC (Prealbumin-ASLO-Ceruloplasmin) is for use in the calibration of quantitative Roche methods on Roche clinical chemistry analyzers as specified in the value sheets.
C.f.a.s. (Calibrator for automated systems) Proteins is for use in the calibration of quantitative Roche methods on Roche clinical chemistry analyzers as specified in the value sheets.
PreciControl ClinChem Multi 1 is for the use in quality control by monitoring accuracy and precision for the quantitative methods as specified in the value sheets. PreciControl ClinChem Multi 2 is for the use in quality control by monitoring accuracy and precision for the quantitative methods as specified in the value sheets.
Precinorm Protein and Precipath Protein are for the use in quality control by monitoring accuracy and precision for the quantitative methods as specified in the value sheets.
C.f.a.s. Proteins is a liquid ready-to-use calibrator based on human serum. The concentrations of the components have been adjusted to ensure optimal calibration of the appropriate Roche methods on clinical chemistry analyzers.
C.f.a.s. PAC is a lyophilized calibrator based on human serum. The concentrations of the components have been adjusted to ensure optimal calibration of the appropriate Roche methods on clinical chemistry analyzers.
PreciControl ClinChem Multi 1 and 2 are lyophilized controls based on human serum. The adjusted concentrations and activities of the components of PCCC Multi 1 are usually in the normal range or at the normal/pathological threshold. The adjusted concentrations and activities of the components of PCCC Multi 2 are usually in the pathological range.
Precinorm Protein and Precipath Protein are liquid ready-for-use control sera based on human serum. The concentrations of the components of Precinorm Protein are usually in the normal range or at the normal/pathological threshold. The concentrations of the components of Precipath Protein are usually in the pathological range.
Below is a summary of the acceptance criteria and study information for the device based on the provided text.
1. Acceptance Criteria and Reported Device Performance
The study evaluates the impact of "device modifications" on the performance of four in-vitro diagnostic devices (calibrators and control sets). The modifications primarily involve changing the Antistreptolysin O (ASLO) analyte source material from human serum to sheep serum, and some biological additive changes for C.f.a.s. PAC and PCCC.
The performance characteristics assessed are:
- Stability: Shelf life and open vial stability.
- Method Comparison: Comparison of ASLO measurements between the candidate and predicate C.f.a.s. PAC calibrators.
- Lower Detection Limit (LDL): Verification of ASLO LDL.
- Control Recovery: Evaluation of ASLO control recovery using the modified control sets.
- Precision: Assessment of ASLO and Ferritin precision.
| Test Category | Acceptance Criteria | Reported Device Performance |
|---|---|---|
| Stability (General) | Averaged results must be 90% to 110% recovery of the reference value for C.f.a.s. Proteins, C.f.a.s. PAC, PCCC, PNP, and PPP. | Results from all analytes from all four devices range from 91 to 108% recovery, meeting the criterion. The open vial stability claims appear in the device package inserts and are supported. The unopened stability claim, or shelf life claim, is supported by the new data. |
| Stability (PNP/PPP ASLO) | The average results must be 85% to 115% recovery of the reference value for Antistreptolysin O in PNP/PPP. | Included in the general stability results above (91-108% recovery), indicating it also met this specific criterion. |
| Method Comparison (ASLO - c 501) | Slope = 1.00 ± 0.10, Intercept ≤ ± 20 IU/mL, R value ≥ 0.975 (for ASLOT c 501). | Slope = 1.00, Intercept = -2 IU/mL, R value = 0.998. This meets the criteria. |
| Method Comparison (ASLO - INTEGRA 800) | Implicitly the same criteria as c 501 for slope, intercept, and R value, or similar tight correlation. (The table for INTEGRA 800 only explicitly shows results, implying similar criteria for acceptance of "compare well"). | Slope = 1.00, Intercept = 0 IU/mL, R value = 1.000. This meets the criteria. |
| Lower Detection Limit (LDL) - ASLO | LDL claim of ≤ 20 IU/mL. | The study showed an LDL of 2 IU/mL, which meets the criterion. |
| Control Recovery (ASLO) | 90% to 110% recovery of the target value. | Results range from 97 to 104% recovery of the target value. All values meet the acceptance criterion. |
| Precision (ASLO) | CV ≤ 4%. | ASLO precision results range from 0 to 2% CV. All results meet the criterion. |
| Precision (Ferritin) | CV ≤ 5%. | Ferritin precision results range from 0 to 2% CV. All results meet the criterion. |
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Sample Size:
- Method Comparison (ASLO): "a data set of human serum samples." The specific number of samples is not provided, but it states "human serum samples."
- Lower Detection Limit (ASLO): n = 21 replicates for the calculation.
- Precision (ASLO and Ferritin): 21 replicates were measured in a single run in a single day for each test system (total 2 test systems for ASLO, 1 for Ferritin).
- Data Provenance: The document does not explicitly state the country of origin or whether the data was retrospective or prospective. Given the context of submitting to the FDA, it is likely that the data was generated in a controlled, prospective manner following industry standards for manufacturing and testing of in-vitro diagnostics. The materials (calibrators and controls) are for use with Roche clinical chemistry analyzers (Roche/Hitachi and COBAS INTEGRA families), which are widely available globally. The source of some materials changed FROM "human" TO "sheep," but the "human serum samples" used for method comparison are not detailed as to their origin.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
Not applicable. This is a study for in-vitro diagnostic calibrators and controls, not an imaging device or a diagnostic algorithm requiring expert interpretation of results to establish ground truth. The "ground truth" here refers to reference values established through traceable methods and master lots, and the comparison is based on quantitative analytical performance against these established reference values.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable. As this is not a study involving human readers or subjective interpretations, no adjudication method was used. Performance is assessed against quantitative analytical criteria.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
Not applicable. No MRMC study was conducted as this device is an in-vitro diagnostic calibrator/control, not an AI-assisted diagnostic tool.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Yes, a standalone performance evaluation was done in the sense that the analytical performance of the modified calibrators and controls was tested directly on analyzers (cobas c 501 and INTEGRA 800) against predefined quantitative criteria. There is no "human-in-the-loop" component in the direct measurement and assessment of these IVD devices for their intended use (calibration and quality control).
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
The ground truth used for performance evaluation is based on reference values established through traceable master lots and reference methods. For calibrators, value assignment is "traceable through master lot to reference methods or materials." For controls, "target values" are used, and analytical results are compared to these target values to determine recovery. In the context of lab diagnostics, this is the accepted standard for defining "ground truth" or reference for quantitative measurements.
8. The sample size for the training set
Not applicable for this type of IVD device modification submission. This is not an AI/machine learning device that requires a training set. The "training" in this context would refer to the historical data and method development that led to the predicate devices and the current testing methodologies, rather than a distinct "training set" for an algorithm.
9. How the ground truth for the training set was established
Not applicable, as there is no training set in the context of AI/ML. The reference values for calibrators and control materials are established through rigorous analytical measurement processes, often involving comparison to international reference materials or highly accurate reference methods, and internal master lot value assignment protocols.
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| 510(k) # | K133330 |
|---|---|
| Applicant | The submission was prepared by Susan Hollandbeck from Roche Professional Diagnostics Regulatory Affairs and submitted on October 31, 2013. |
| Roche Diagnostics Operations c/o Susan Hollandbeck 9115 South Hague Road; PO Box 50416; Indianapolis, IN 46250 Phone Number: 317-521-3380 Fax Number: 317-521-2324 e-mail: susan.hollandbeck@roche.com | |
| Candidate device | There are four candidate devices: two calibrators and two control sets. Proprietary Names C.f.a.s. (Calibrator for automated systems) ProteinsC.f.a.s. (Calibrator for automated systems) PAC (Prealbumin- Antistreptolysin-Ceruloplasmin)PreciControl ClinChem Multi 1 and 2Precinorm Protein and Precipath Protein |
| Common Names C.f.a.s. ProteinsC.f.a.s. PACPCCCPNP and PPP | |
| Submission purpose | Roche Diagnostics submits this Bundled Special 510(k) as notification of device modifications. All four candidate devices bear the same modification; the Antistreptolysin O analyte source material, common to the two calibrators and two controls sets, has been changed from human serum to sheep serum to eliminate conflict associated with human sourcing.C.f.a.s. PAC and PCCC have changed their biological additives.C.f.a.s. PAC has two fewer because they are not needed and PCCC has one more because its levels were at risk of being too low. |
| Measurand | There are multiple constituents for each of the four devices. They are listed in the corresponding device labeling. |
NOV 2 6 2013
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The four candidate devices are modifications of the corresponding predicate Predicate device devices. The device names are unchanged. They and their most recent 510(k) submissions are summarized in the table below.
Table 1: Predicate Device Clearances
| Device | 510(k) Submission |
|---|---|
| C.f.a.s. Proteins | K080607 |
| C.f.a.s. PAC | K040245 |
| PreciControl ClinChem Multi 1 and 2 | K102016 |
| Precinorm Protein and Precipath Protein | K981401 |
Regulatory classification of device
| able 2: Regulatory Classification of Candidate Devices | |||
|---|---|---|---|
| Device | C.f.a.s. Proteins and C.f.a.s. PAC | PCCC and PNP/PPP |
|---|---|---|
| Product Code | JIX | JJY |
| Device Class | II | I |
| Regulation | 862.1150 | 862.1660 |
| Description | Calibrator | Quality Control Material |
| Panel | Clinical Chemistry (75) |
Device description
C.f.a.s. Proteins is a liquid ready-to-use calibrator based on human serum. The concentrations of the components have been adjusted to ensure optimal calibration of the appropriate Roche methods on clinical chemistry analyzers.
C.f.a.s. PAC is a lyophilized calibrator based on human serum. The concentrations of the components have been adjusted to ensure optimal calibration of the appropriate Roche methods on clinical chemistry analyzers.
PreciControl ClinChem Multi 1 and 2 are lyophilized controls based on human serum. The adjusted concentrations and activities of the components of PCCC Multi 1 are usually in the normal range or at the normal/pathological threshold. The adjusted concentrations and activities of the components of PCCC Multi 2 are usually in the pathological range.
Precinorm Protein and Precipath Protein are liquid ready-for-use control sera based on human serum. The concentrations of the components of Precinorm Protein are usually in the normal range or at the normal/pathological threshold. The concentrations of the components of Precipath Protein are usually in the pathological range.
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| Intended use | The intended uses of the modified devices, as described in their labeling, have not changed as a result of the modifications. C.f.a.s. Proteins is for use in the calibration of quantitative Roche methods on Roche clinical chemistry analyzers as specified in the value sheets. C.f.a.s. PAC is for use in the calibration of quantitative Roche methods on Roche clinical chemistry analyzers as specified in the value sheets. PreciControl ClinChem Multi 1 and 2 are for use in quality control by monitoring accuracy and precision for the quantitative methods as specified in the value sheets. Precinorm Protein and Precipath Protein are for use in quality control by monitoring accuracy and precision for the quantitative methods as specified in the value sheets. |
|---|---|
| Specialconditions foruse | For prescription use only |
| Specialinstrumentsrequired | These calibrators and controls are designed for use with Roche clinical chemistry analyzers in the Roche/Hitachi and COBAS INTEGRA analyzer families. |
| Continued on next page |
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Similarities -The following table compares the similar features of the candidate device, C.f.a.s. Proteins C.f.a.s. Proteins, to the predicate device that was cleared in 510(k) K080607.
the submit and the submit of the subject of the subject of
| Feature | Predicate Device | Candidate Device |
|---|---|---|
| Intended use | C.f.a.s. Proteins is for use in thecalibration of quantitative Rochemethods on Roche clinicalchemistry analyzers as specified inthe value sheets. | Same |
| Levels | 1 | Same |
| Form | Liquid ready-to-use | Same |
| Matrix | Human serum with chemical andbiological additives | Same |
| Constituents | 16 constituents(complete list is in Table 11) | Same |
| Traceability | Traceability of the target values isgiven in the respective instructionsfor use of the system reagents. | Same |
| Value assignment | Traceable through master lot toreference methods or materials | Same |
| Unopened stability | 2 - 8 °C until expiration | Same |
| Opened stability | 4 weeks at 2 - 8 °C, provided thatdispensing of the calibrator occurswithout microbial contamination | Same |
Table 3: Similarities between Predicate and Candidate C.f.a.s. Proteins
Differences -The following table distinguishes the candidate device, C.f.a.s. Proteins, from C.f.a.s. Proteins the predicate device that was cleared in 510(k) K080607.
Table 4: Differences between Predicate and Candidate C.f.a.s. Proteins
| Feature | Predicate Device | Candidate Device |
|---|---|---|
| Source material | Human Antistreptolysin O | Sheep Antistreptolysin O |
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The following table compares the similar features of the candidate device, Similarities -C.f.a.s. Proteins, to the predicate device that was cleared in 510(k) K080607. C.f.a.s PAC
| Feature | Predicate Device | Candidate Device |
|---|---|---|
| Intended use | C.f.a.s. PAC is for use in thecalibration of quantitative Rochemethods on Roche clinicalchemistry analyzers as specified inthe value sheets. | Same |
| Levels | 1 | Same |
| Form | Lyophilized, requires reconstitutionwith 1.0 mL water | Same |
| Matrix | Human serum with chemical andbiological additives | Same |
| Constituents | 3 constituents(complete list is in Table 11) | Same |
| Traceability | Traceability of the target values isgiven in the respective instructionsfor use of the system reagents. | Same |
| Value assignment | Traceable through master lot toreference methods or materials | Same |
| Unopened stability | 2-8 °C until expiration | Same |
| Reconstitutedstability | • 8 hours at 15 to 25 °C• 2 days at 2 to 8 °C• 2 weeks at -15 to -25 °C(when frozen once) | Same |
Table 5: Similarities between Predicate and Candidate C fass PAC
Differences -C.f.a.s. PAC
The following table distinguishes the candidate device, C.f.a.s. PAC, from the predicate device that was cleared in 510(k) K040245.
Table 6: Differences between Predicate and Candidate C.f.a.s. PAC
| Feature | Predicate Device | Candidate Device |
|---|---|---|
| Source material | Human Antistreptolysin O | Sheep Antistreptolysin O |
| Biologicaladditives | Includes Ceruloplasmin andPrealbumin | Excludes Ceruloplasminand Prealbumin |
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The following table compares the similar features of the candidate device, Similarities -PCCC PreciControl ClinChem Multi 1 and 2 (PCCC), to the predicate device that was cleared in 510(k) K102016.
| Feature | Predicate Device | Candidate Device |
|---|---|---|
| Intended use | PreciControl ClinChem Multi 1 and2 are for use in quality control bymonitoring accuracy and precisionfor the quantitative methods asspecified in the value sheets. | Same |
| Levels | 2 | Same |
| Form | Lyophilized, requires reconstitutionwith 5.0 mL water | Same |
| Matrix | Human serum with chemical andbiological additives | Same |
| Constituents | 49 constituents(complete list is in Table 11) | Same |
| Traceability | Traceability of the target values isgiven in the respective instructionsfor use of the system reagents. | Same |
| Value assignment | Traceable through master lot toreference methods or materials | Same |
| Unopened stability | 2-8 °C until expiration | Same |
| Reconstitutedstability | • 12 hours at 15 to 25 °C• 5 days at 2 to 8 °C• 4 weeks at -15 to -25 °C(when frozen once) | Same |
Table 7: Similarities between Predicate and Candidate PCCC
The following table distinguishes the candidate device, PCCC, from the Differences -PCCCC predicate device that was cleared in 510(k) K102016.
Table 8: Differences between Predicate and Candidate PCCC
| Predicate Device | Candidate Device |
|---|---|
| Human Antistreptolysin O | Sheep Antistreptolysin O |
| Excludes Ferritin | Includes Ferritin |
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The following table compares the similar features of the candidate devices, Similarities -PNP/PPPP Precinorm Protein (PNP) and Precipath Protein (PPP) to the predicate devices that were cleared in 510(k) K981401.
| Feature | Predicate Device | Candidate Device |
|---|---|---|
| Intended use | Precinorm Protein andPrecipath Protein Controls areintended for use as controls inthe immunoturbidimetricassay of serum proteins. | Precinorm Protein andPrecipath Protein are for usein quality control bymonitoring accuracy andprecision for the quantitativemethods as specified in thevalue sheets. |
| Levels | 2 | Same |
| Form | Liquid ready-to-use | Same |
| Matrix | Human serum with chemicaland biological additives | Same |
| Constituents | 18 constituents(complete list is in Table 11) | Same |
| Traceability | Traceability of the targetvalues is given in therespective instructions foruse of the system reagents. | Same |
| Value assignment | Traceable through master lotto reference methods ormaterials | Same |
| Unopened stability | 2 - 8 o C until expiration | Same |
| Opened stability | 1 month after first opening at2 - 8 oC providing thatcontamination bymicroorganisms is avoided. | 4 weeks at 2 - 8 oC,provided that dispensing ofthe control occurs withoutmicrobial contamination. |
Table 9: Similarities between Predicate and Candidate PNP/PPP
The following table distinguishes the candidate devices, PNP and PPP, from Differences -PNP/PPP the predicate devices that were cleared in 510(k) K981401.
| Table 10: Differences between Predicate and Candidate PNP/PPP | |||||
|---|---|---|---|---|---|
| -- | --------------------------------------------------------------- | -- | -- | -- | -- |
| Feature | Predicate Device | Candidate Device |
|---|---|---|
| Source material | Human Antistreptolysin O | Sheep Antistreptolysin O |
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Constituents
The four candidate devices include the listed constituent analytes. The list of constituents is unchanged between candidate and predicate devices. Table 11: Constituent Analytes of the Candidate Devices
| al-Acid glycoproteinal-AntitrypsinAntistreptolysin O1C3cC4CeruloplasminC-Reactive ProteinFerritinHaptoglobin10. IgA11. IgG | ı. Prealbumin2. Antistreptolysin O3. Ceroluplasmin | 1.2.3.4.5.6.7. | C3cC4 | al-Acid glycoproteinal-AntitrypsinAlbuminAntistreptolysin O | |
|---|---|---|---|---|---|
| Ceruloplasmin' | |||||
| 8. | C-reactive protein | ||||
| 9. Ferritin | |||||
| 10. Haptoglobin | |||||
| 11. IgA | |||||
| 12. IgM | 12. IgG | ||||
| 13. Kappa | 13. IgM | ||||
| 15. Prealbumin' | |||||
| 16. Transferrin | 16. Prealbumin' | ||||
| 17. Total Protein | |||||
| 18. Transferrin | |||||
| PCCC | |||||
| Alanine aminotransferase | 18. | Ceruloplasmin | ડર. | Lactate | |
| Albumin | 19. | Chloride | dehydrogenase | ||
| Alkaline phosphatase | Cholesterol | 36. | LDL-Cholesterol | ||
| al-Acid glycoprotein | 21. | Cholinesterase | 37. | Lipase | |
| al-Antitrypsin | 22. | Creatine kinase | 38. | Lithium | |
| Amylase | 23. | Creatine kinase MB | 39. | Magnesium | |
| Amylase pancreatic | 24. | Creatinine | 40. | Phosphate | |
| Antisteptolysin O | 25. | Ferritin | 41. | Potassium | |
| Apolipoprotein A-1 | 26. | 42. | Prealbumin | ||
| Apolipoprotein B | 27. | Glucose | 43. | Sodium | |
| Aspartate aminotransferase | 28. | Haptoglobin | 44. | Total protein | |
| Bilirubin direct | 29. | HDL-Cholesterol | 45. | Transferrin | |
| Bilirubin total | 30. | IgA | 46. | Triglycerides | |
| C-Reactive protein | 31. | lgG | 47. | Unsaturated | |
| C3c | 32. | IgM | iron-binding | ||
| C4 | 33. | Iron | capacity | ||
| Calcium | 34. | Lactate | 48. | Urea | |
| 49. | Uric acid | ||||
| 14. Lambda | The devices are not promoted in the U.S. for these analytes.20. | y-GlutamyItransferase | 14. Kappa15. Lambda |
Continued on next page
·
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| Performancecharacteristics | These changes are supported by demonstrating no adverse impact to stability, method comparison, lower detection limit, control recovery, and precision. | ||
|---|---|---|---|
| Stability | The shelf life stability claim and the open vial stability claims were re- evaluated with real time stability data. Results from all timepoints tested meet the acceptance criterion. The acceptance criterion for C.f.a.s. Proteins, C.f.a.s. PAC, PCCC, PNP, and PPP is that the averaged results must be 90% to 110% recovery of the reference value, except... The acceptance criterion for Antistreptolysin O in PNP/PPP is that the average results must be 85% to 115% recovery of the reference value. Results from all analytes from all four devices range from 91 to 108% recovery. The open vial stability claims appear in the device package inserts. They are supported with the new data. The unopened stability claim, or shelf life claim is seen by the user only as an expiration date on the device. | ||
| Methodcomparison | Antistreptolysin O method comparison was conducted between the candidate and predicate C.f.a.s. PAC. The Hitachi and INTEGRA analyzer families use different Antistreptolysin O reagent formulations. The cobas c 501 analyzer tested the Hitachi reagent formulation and the INTEGRA 800 tested the INTEGRA reagent formulation. Passing-Bablok linear regression analysis was performed on the data set of human serum samples. The x-axis was set to C.f.a.s. PAC with the current calibrator formulation; the y-axis was set to the modified one. The table below summarizes results. | ||
| Table 12: Antistreptolysin O Method Comparison Results for C.f.a.s. PAC | |||
| Test System | Criteria | Results | |
| ASLOT c 501 | Slope = 1.00 ± 0.10Intercept ≤ ± 20 IU/mLR value ≥ 0.975 | Slope = 1.00Intercept = -2 IU/mLR value = 0.998 | |
| ASO 1800 | Slope = 1.00Intercept = 0 IU/mLR value = 1.000 |
The candidate and predicate C.f.a.s. PAC compare well. Both test systems meet the criteria. There is no evidence of loss to patient sample accuracy as a result of the Antistreptolysin O source change.
Continued on next page
.
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| Lowerdetection limit | Antistreptolysin O lower detection limit (LDL) was verified using thecandidate C.f.a.s. PAC to calibrate the ASLOT cobas c 501 test system. TheLDL represents the lowest measurable analyte concentration that can bedistinguished from zero. It is calculated as the value lying three standarddeviations above that of the lowest standard with n =21. The study showedan LDL of 2 IU/mL which meets the criterion of ≤ 20 IU/mL, thus supportedthe LDL claim of 20 IU/mL. |
|---|---|
| Controlrecovery | Antistreptolysin O control recovery was tested with both candidate controlsets on both the cobas c 501 and the INTEGRA 800 analyzers. Results rangefrom 97 to 104% recovery of the target value. The acceptance criterion is 90to 110%. All values meet the acceptance criterion. There is no evidence ofloss of accuracy due to the Antistreptolysin O source change. |
| Precision | The potential loss to reproducibility is evaluated by testing the precision ofAntistreptolysin O in both candidate control sets, PCCC and PNP/PPP, and ofFerritin in PCCC. Antistreptolysin O precision data are collected using onereagent batch on two analyzers, the cobas c 501 and the COBAS INTEGRA800. Ferritin precision data are collected using one reagent batch on thecobas c 501 analyzer because there is no Ferritin application on the COBASINTEGRA in the U.S. For each test system, 21 replicates were measured in asingle run in a single day. The coefficient of variation (%CV) was calculated. |
| Antistreptolysin O and Ferritin precision results range from 0 to 2% CV. All Antistreptolysin O results must produce a CV ≤ 4%. All Ferritin results must produce a CV ≤ 5%. All results meet the criterion. Therefore, there is no evidence of loss to reproducibility as a result of the device modifications. | |
| Conclusion | The submitted information in this premarket notification supports a substantial equivalence decision. The differences between predicate and candidate do not impact the indications for use or technological characteristics. |
. · ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/10/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circle around the eagle. The eagle is black, and the text is also black. The logo is simple and recognizable.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
November 26, 2013
ROCHE DIAGNOSTICS SUSAN HOLLANDBECK 9115 SOUTH HAGUE ROAD INDIANAPOLIS IN 46250
Re: K133330
Trade/Device Name: C.f.a.s. PAC; C.f.a.s. Proteins: Precicontrol ClinChem Multi 1 & 2; Precinorm Protein & Precipath Protein Regulation Number: 21 CFR 862.1150 Regulation Name: Calibrator Regulatory Class: II Product Code: JIX, JJY Dated: October 31, 2013 Received: November 1, 2013
Dear Ms. Hollandbeck:
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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. 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): good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
{11}------------------------------------------------
Page 2-Ms. Hollandbeck
If you desire specific advice for your device on our labeling regulations (2) CFR Parts 801 and 809). please contact the Division of Small Manufacturers. International and Consumer Assistance at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resources/orYou/Industrv/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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/ReportalProblem/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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours.
Carol C. Benson -S for
Courtney H. Lias, Ph.D. Director Division of Chemistry and Toxicology Devices Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health
Enclosure
{12}------------------------------------------------
510(k) Number (if known): K133330
C.f.a.s. PAC Device Name:
Indications for Use:
C.f.a.s. (Calibrator for automated systems) PAC (Prealbumin-ASLO-Ceruloplasmin) is for use in the calibration of quantitative Roche methods on Roche clinical chemistry analyzers as specified in the value sheets.
Prescription Use X (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 Diagnostics and Radiological Health (OIR)
Ruth A. Chesler -S
Division Sign-Off Office of In Vitro Diagnostics and Radiological Health
K133330 510(k)
{13}------------------------------------------------
510(k) Number (if known): K133330
Device Name: C.f.a.s. Proteins
Indications for Use:
C.f.a.s. (Calibrator for automated systems) Proteins is for use in the calibration of quantitative Roche methods on Roche clinical chemistry analyzers as specified in the value sheets.
Prescription Use X (21 CFR Part 801 Subpart D) And/Or .
Over the Counter Use _________________________________________________________________________________________________________________________________________________________ (21 CFR Part 801 Subpart C)
(PLEASE DO NOT WRITE UELOW THIS LINE; CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)
Ruth A. Chesler -S
Division Sign-Off Office of In Vitro Diagnostics and Radiological Health
K133330 510(k)
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510(k) Number (if known): K133330
Device Name:
PreciControl ClinChem Multi 1 and 2
Indications for Use:
PreciControl ClinChem Multi I is for the use in quality control by monitoring accuracy and precision for the quantitative methods as specified in the value sheets. PreciControl ClinChem Multi 2 is for the use in quality control by monitoring accuracy and precision for the quantitative methods as specified in the value sheets.
Prescription Use X (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 Diagnostics and Radiological Health (OIR)
Ruth A. Chesler -S
Division Sign-Off Office of In Vitro Diagnostics and Radiological Health
K133330 510(k)
Page kxfxkx 3 of 4
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510(k) Number (if known): K133330
Precinorm Protein and Precipath Protein Device Name:
Indications for Use:
Precinorm Protein and Precipath Protein are for the use in quality control by monitoring accuracy and precision for the quantitative methods as specified in the value sheets.
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)
And/Or
Concurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)
Ruth A. Chesler -S
Division Sign-Off Office of In Vitro Diagnostics and Radiological Health
K133330 510(k)
Page Kortodx 4 of 4
§ 862.1150 Calibrator.
(a)
Identification. A calibrator is a device intended for medical purposes for use in a test system to establish points of reference that are used in the determination of values in the measurement of substances in human specimens. (See also § 862.2 in this part.)(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.